Active NPI
Boyao Huang, MD
- Family Medicine Physician
- San Marino, CA
National Provider Identifier
1194887182
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Dec 20, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A77036
- Practice address
- 2130 Huntington Dr
San Marino, CA 91108-2024 - Phone
- (626) 284-9589
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A77036 | CA | Primary |
Addresses
Primary practice location
2130 Huntington Dr
San Marino, CA 91108-2024
Mailing address
2130 Huntington Dr
San Marino, CA 91108-2024
Phone (626) 284-9589
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boyao Huang M.D. a Professional Corporation | Family Medicine | Past | Accepting new patients |
| Housecall Doctors Medical Group Inc | Past | Accepting new patients | |
| CHI Imaging Inc | Past | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Family Medicine | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Medicine Physician
- San Marino, CA
- NPI 1568721314
-
- Physiological Laboratory
- Los Angeles, CA
- NPI 1295782001
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
Family Medicine
-
- Geriatric Medicine (Family Medicine) Physician
- Long Beach, CA
- NPI 1033164017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1194887182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 HUNTINGTON DR",
"city": "SAN MARINO",
"state": "CA",
"postal_code": "911082024",
"telephone_number": "626-284-9589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 HUNTINGTON DR",
"city": "SAN MARINO",
"state": "CA",
"postal_code": "911082024",
"telephone_number": "626-284-9589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "BOYAO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A77036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.