Individual provider Active NPI

Gintien Huang, M.D.

  • Ophthalmology Physician
  • San Bernardino, CA
National Provider Identifier
1225325129
Registry record updated Jun 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A133985 Issued in CA
Practice address
1909 N Waterman Ave
San Bernardino, CA 92404-4842
Phone
(909) 882-8883
Fax
(909) 882-8883
NPI assigned
Jun 30, 2011
Last updated
Jun 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A133985 CA Primary
Ophthalmology Physician 207W00000X 262015 NY
Ophthalmology Physician 207W00000X ME119895 FL

Addresses

Primary practice location

1909 N Waterman Ave
San Bernardino, CA 92404-4842

Mailing address

1909 N Waterman Ave
San Bernardino, CA 92404-4842
Phone (909) 882-8883

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
I20150501001826 CA Practitioner - Ophthalmology 1355568338 Reassigns benefits to 1 organization
Practice locations: Colton, CA; Pomona, CA; Redlands, CA; San Bernardino, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Saint Louis University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gintien Huang MD IncGroup PAC ID 7214269646, 6 clinicians

Practice addresses (Care Compare)

1909 N Waterman Ave
Suite 3
San Bernardino, CA 92404-4842
Phone (909) 882-8829

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
133985CAMDClinical Social Worker
A133985CAMDOphthalmology Physician
262015NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ayaz O Khan Inc Ophthalmology CurrentSince Aug 27, 2019 Accepting new patients
Gintien Huang MD Inc Ophthalmology CurrentSince Jan 3, 2019 Accepting new patients
HCV Medical Corporation CurrentSince Jun 17, 2021 Accepting new patients
Dr. Skinner Optometry P.C. PastSince Jun 25, 2012 Accepting new patients
University of Miami Past Accepting new patients
Cedars Healthcare Group, LTD. Past Accepting new patients
Dignity Health Past Accepting new patients
Community Hospital of San Bernardino Ophthalmology Past Accepting new patients

Locations

8275 Sierra Ave
Ste 103
Fontana, CA 92335
Phone (909) 822-1115

648 N Park Ave
Pomona, CA 91768
Phone (909) 622-3531

6216 Brockton Ave
Ste 216
Riverside, CA 92506
Phone (951) 376-3352

1887 Business Center Dr
Ste 2A
Sn Bernrdno, CA 92408
Phone (909) 383-1053

1909 N Waterman Ave
Ste 3
Sn Bernrdno, CA 92404
Phone (909) 882-8829

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433635200000",
    "number": "1225325129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044842",
            "telephone_number": "909-882-8883",
            "fax_number": "909-882-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044842",
            "telephone_number": "909-882-8883",
            "fax_number": "909-882-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "GINTIEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2015-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A133985",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "262015",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME119895",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.