Individual provider Active NPI

Vivian H.Y. Huang, L.AC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Elk Grove, CA
National Provider Identifier
1093883217
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
AC7301 Issued in CA
Practice address
8896 Southside Ave
#C
Elk Grove, CA 95624-2231
Phone
(916) 714-6802
Fax
(916) 714-6803
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X AC7301 CA Primary

Addresses

Primary practice location

8896 Southside Ave
#C
Elk Grove, CA 95624-2231

Mailing address

8896 Southside Ave
#C
Elk Grove, CA 95624-2231
Phone (916) 714-6802

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

LicenseStateTypeSpecialty
AC7301CAMDNeuromusculoskeletal Medicine & OMM Physician

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1093883217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8896 SOUTHSIDE AVE",
            "address_2": "#C",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242231",
            "telephone_number": "916-714-6802",
            "fax_number": "916-714-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8896 SOUTHSIDE AVE",
            "address_2": "#C",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242231",
            "telephone_number": "916-714-6802",
            "fax_number": "916-714-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "VIVIAN",
        "middle_name": "H.Y.",
        "name_prefix": "Mrs.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "AC7301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.