Active NPI
Holly Myxuan Luong, M.D.
- Pediatrics Physician
- Fresno, CA
National Provider Identifier
1205038429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A96951
- Practice address
- 302 Fresno St Ste 101
Fresno, CA 93706-3641 - Phone
- (559) 457-5700
- NPI assigned
- Jun 1, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A96951 | CA | Primary |
Addresses
Primary practice location
302 Fresno St Ste 101
Fresno, CA 93706-3641
Mailing address
302 Fresno St Ste 101
Fresno, CA 93706-3641
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A96951 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1205038429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 FRESNO ST STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937063641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 FRESNO ST STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937063641",
"telephone_number": "559-457-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUONG",
"first_name": "HOLLY",
"middle_name": "MYXUAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-01",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A96951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.