Individual provider Active NPI

Jeffrey Huang, D.O.

  • Ophthalmology Physician
  • San Marino, CA
National Provider Identifier
1124274998
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20A11984 Issued in CA
Practice address
375 Huntington Dr
Suite D
San Marino, CA 91108-2357
Phone
(626) 799-2075
Fax
(626) 790-4554
NPI assigned
Aug 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X SL0583 NV
Ophthalmology Physician 207W00000X 20A11984 CA Primary

Addresses

Primary practice location

375 Huntington Dr
Suite D
San Marino, CA 91108-2357

Mailing address

103 N Garfield Ave Ste E
Alhambra, CA 91801-3578
Phone (626) 799-2075

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
I20120827000226 CA Practitioner - Ophthalmology 3375790348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 N Garfield Ave
Suite E
Alhambra, CA 91801-3578
Phone (626) 799-2075

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SL0583NVMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Vision PC Ophthalmology CurrentSince Sep 3, 2014 Accepting new patients
Ahmc San Gabriel Valley Medical Ophthalmology Past Accepting new patients
Milauskas Eye Institute Medical Group II Inc Ophthalmology Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Dignity Community Care Ophthalmology Past Accepting new patients
Pomona Valley Hospital Medical Center Ophthalmology Past Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients
Dignity Community Care Past Accepting new patients
Milauskas Eye Institute Medical Group II Inc Ophthalmology Past Accepting new patients

Locations

103 N Garfield Ave
Ste E
Alhambra, CA 91801
Phone (626) 300-0191

18725 Gale Ave
Ste 140
City of Industry, CA 91748
Phone (626) 854-2020

3420 Bristol St
Ste 700
Costa Mesa, CA 92626
Phone 71495702736

160 E Artesia St
Ste 325
Pomona, CA 91767
Phone (909) 620-5200

375 Huntington Dr
Ste D
San Marino, CA 91108
Phone (626) 389-2920

3945 Freedom Cir
Ste 130
Santa Clara, CA 95054
Phone (408) 374-2020

8341 Westminster Blvd
Ste 202
Westminster, CA 92683
Phone (714) 725-8989

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1124274998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N GARFIELD AVE STE E",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013578",
            "telephone_number": "626-799-2075",
            "fax_number": "626-790-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 HUNTINGTON DR",
            "address_2": "SUITE D",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082357",
            "telephone_number": "626-799-2075",
            "fax_number": "626-790-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "SL0583",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A11984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marino, CA

Sources for this page

Verify at the official NPI Registry.