Individual provider Active NPI

Ray Hsiao, MD

  • Internal Medicine Physician
  • Hacienda Heights, CA
National Provider Identifier
1164507869
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G70571 Issued in CA
Practice address
1850 S Azusa Ave
Suite 308
Hacienda Heights, CA 91745-6813
Phone
(626) 854-7866
Fax
(626) 820-0666
NPI assigned
Oct 25, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G70571 CA Primary

Addresses

Primary practice location

1850 S Azusa Ave
Suite 308
Hacienda Heights, CA 91745-6813

Mailing address

1850 S Azusa Ave
Suite 308
Hacienda Heights, CA 91745-6813
Phone (626) 854-7866

Other identifiers 1

IdentifierTypeStateIssuer
00G705711MedicaidCA

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
I20090925000451 CA Practitioner - Internal Medicine 4183537731 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Diego School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1850 S Azusa Ave
Suite 308
Hacienda Heights, CA 91745-6854
Phone (626) 854-7866

201 W Garvey Ave
Suite 108
Monterey Park, CA 91754-7420
Phone (626) 573-1023

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G70571CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garvey Medical Center Internal Medicine CurrentSince Dec 1, 1998 Accepting new patients
Ray Hsiao MD Inc Internal Medicine CurrentSince Aug 3, 2009 Accepting new patients
Primecare Medical Group Internal Medicine Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients

Locations

1850 S Azusa Ave
Ste 308
Hacienda Heights, CA 91745
Phone (626) 854-7866

201 W Garvey Ave
Ste 108
Monterey Park, CA 91754
Phone (626) 573-1023

201 W Garvey Ave
Ste 201
Monterey Park, CA 91754
Phone (626) 280-3393

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164507869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE",
            "address_2": "SUITE 308",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456813",
            "telephone_number": "626-854-7866",
            "fax_number": "626-820-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE",
            "address_2": "SUITE 308",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456813",
            "telephone_number": "626-854-7866",
            "fax_number": "626-820-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIAO",
        "first_name": "RAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G70571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G705711",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

Verify at the official NPI Registry.