Organization Active NPI

Katie Huang MD - Professional Corporation

  • Surgery Physician
  • Encinitas, CA
National Provider Identifier
1215767983
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
KATIE HUANG MD - PROFESSIONAL CORPORATION
Practice address
662 Encinitas Blvd Ste 220
Encinitas, CA 92024-6791
Phone
(833) 443-6287
Fax
(760) 692-2741
NPI assigned
Aug 6, 2024
Last updated
Aug 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Katie Huang, MDNPI 1093804247
Title
Owner
Phone
(833) 443-6287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

662 Encinitas Blvd Ste 220
Encinitas, CA 92024-6791

Mailing address

662 Encinitas Blvd Ste 220
Encinitas, CA 92024-6791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241031000399 CA Part B Supplier - Clinic/Group Practice 5294268108 Receives reassigned benefits from 1 practitioner
Practice locations: Encinitas, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1215767983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 ENCINITAS BLVD STE 220",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 ENCINITAS BLVD STE 220",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246791",
            "telephone_number": "833-443-6287",
            "fax_number": "760-692-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE HUANG MD - PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-443-6287",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.