Active NPI
Hailing Hou
- Dental Hygienist
- San Gabriel, CA
National Provider Identifier
1093375776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 26236
- Practice address
- 921 S San Gabriel Blvd
San Gabriel, CA 91776-2743 - Phone
- (626) 286-8700
- NPI assigned
- Jun 16, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 26236 | CA | Primary |
Addresses
Primary practice location
921 S San Gabriel Blvd
San Gabriel, CA 91776-2743
Mailing address
1404 Copper Mountain Dr
Diamond Bar, CA 91765-2611
Phone (626) 348-9994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26236 | CA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Herald Christian Health Center | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FIFJBA
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- San Gabriel, CA
- NPI 1033390273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560643200000",
"number": "1093375776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 COPPER MOUNTAIN DR",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917652611",
"telephone_number": "626-348-9994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 S SAN GABRIEL BLVD",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917762743",
"telephone_number": "626-286-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOU",
"first_name": "HAILING",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-16",
"last_updated": "2019-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "26236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.