Active NPI
Anna Huang, PHD
- Psychologist
- Los Alamitos, CA
National Provider Identifier
1164875019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY30781
- Practice address
- 5242 Katella Ave Ste 206
Los Alamitos, CA 90720-2867 - Phone
- (888) 699-4873
- NPI assigned
- Jul 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY30781 | CA | Primary |
Addresses
Primary practice location
5242 Katella Ave Ste 206
Los Alamitos, CA 90720-2867
Mailing address
5242 Katella Ave Ste 206
Los Alamitos, CA 90720-2867
Other names 1
- Dr. Anna Wang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 16, 2021 through Mar 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY30781 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1164875019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5242 KATELLA AVE STE 206",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5242 KATELLA AVE STE 206",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202867",
"telephone_number": "888-699-4873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "ANNA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-15",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY30781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "WANG",
"prefix": "DR.",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.