Active NPI
Ryan Zhong-Wei Huang I, DDS
- Dentist
- San Fernando, CA
National Provider Identifier
1063605483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 56071
- Practice address
- 1600 San Fernando Rd
San Fernando, CA 91340-3115 - Phone
- (818) 898-1388
- Fax
- (818) 270-9570
- NPI assigned
- Aug 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 56071 | CA | Primary |
Addresses
Primary practice location
1600 San Fernando Rd
San Fernando, CA 91340-3115
Mailing address
300 W Grand Ave Apt 23
Alhambra, CA 91801-7219
Phone (626) 872-0836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D56071 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190302000150 | CA | Order and Referring Only - Dentist | 0749529170 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- ryan.huang.p1@direct.scfhc.nextgenshare.com
- ryan.huang.p1@direct.cscla.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1063605483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W GRAND AVE APT 23",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918017219",
"telephone_number": "626-872-0836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SAN FERNANDO RD",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913403115",
"telephone_number": "818-898-1388",
"fax_number": "818-270-9570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "RYAN",
"middle_name": "ZHONG-WEI",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-20",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D56071",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Fernando, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.