Individual provider Active NPI

Xavier Jajin Hsieh, DO

  • Family Medicine Physician
  • City of Industry, CA
National Provider Identifier
1073713616
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A10696 Issued in CA
Practice address
18605 Gale Ave
Suite 240
City of Industry, CA 91748-1356
Phone
(626) 581-1282
Fax
(888) 491-5175
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A10696 CA Primary
General Practice Physician 208D00000X 20A10696 CA

Addresses

Primary practice location

18605 Gale Ave
Suite 240
City of Industry, CA 91748-1356

Mailing address

18605 Gale Ave
Suite 240
City of Industry, CA 91748-1356
Phone (626) 581-1282

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
I20101215000351 CA Practitioner - Family Practice 7315134459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Osteo Med of the Pacific at Pomona, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18605 Gale Ave
Suite 240
City of Industry, CA 91748-1361
Phone (626) 581-1282

Hospital & facility affiliations

  • Solismed Home Health Care, Inc. Home health agency, Northridge, CA, CCN 757717
  • True Choice Home Health, Inc Home health agency, Glendale, CA, CCN 559536
  • Better Health Home Care Home health agency, West Covina, CA, CCN 057753
  • Tea Healthcare Services Inc Home health agency, Covina, CA, CCN 058252
  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
  • El Encanto Healthcare Center Nursing home, City of Industry, CA, CCN 555395

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A10696CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
El Encanto Healthcare and Habilitation CenterCity of Industry, CA, CCN 555395 Skilled nursing facility Adp of the SNF Mar 2, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1073713616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18605 GALE AVE",
            "address_2": "SUITE 240",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481356",
            "telephone_number": "626-581-1282",
            "fax_number": "888-491-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18605 GALE AVE",
            "address_2": "SUITE 240",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481356",
            "telephone_number": "626-581-1282",
            "fax_number": "888-491-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIEH",
        "first_name": "XAVIER",
        "middle_name": "JAJIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A10696",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A10696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in City of Industry, CA

Sources for this page

Verify at the official NPI Registry.