Individual provider Active NPI

Harry H. Huang, M.D

  • Pediatrics Physician
  • Antioch, CA
National Provider Identifier
1073577979
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A85073 Issued in CA
Practice address
3700 Sunset LN
#6
Antioch, CA 94509-6199
Phone
(925) 755-8500
Fax
(925) 755-8200
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A85073 CA Primary

Addresses

Primary practice location

3700 Sunset LN
#6
Antioch, CA 94509-6199

Mailing address

11875 Dublin Blvd
Ste C 140
Dublin, CA 94568-2843
Phone (925) 587-2500

Other identifiers 1

IdentifierTypeStateIssuer
A85073OtherCAMEDICAL LICENSE

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121204000478 CA Practitioner - Pediatric Medicine 3971755638 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
85073CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
LPCH Medical Group Div of Lucile Pediatrics CurrentSince Nov 1, 2012 Accepting new patients
Dignity Health Past Accepting new patients
Bayside Medical Group, Inc Pediatrics Past Accepting new patients
The Hospital Committee for the Livermore-Pleasanton Areas Past Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

3700 Sunset Ln
Ste 6
Antioch, CA 94509
Phone (925) 755-8500

100 Cortona Way
Ste 230
Brentwood, CA 94513
Phone (925) 755-8500

1134 Murrieta Blvd
Ste A
Livermore, CA 94550
Phone (925) 449-7795

1174 Castro St
Ste 250
Mountain View, CA 94040

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

1776 Ygnacio Valley Rd
Ste 100
Walnut Creek, CA 94598
Phone (925) 933-4383

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1073577979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11875 DUBLIN BLVD",
            "address_2": "STE C 140",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682843",
            "telephone_number": "925-587-2500",
            "fax_number": "925-587-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SUNSET LN",
            "address_2": "#6",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096199",
            "telephone_number": "925-755-8500",
            "fax_number": "925-755-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "HARRY",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A85073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A85073",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

Verify at the official NPI Registry.