Individual provider Active NPI

MD Ashraful Huq, RADT

  • Case Manager/Care Coordinator
  • Covina, CA
National Provider Identifier
1225524002
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
508 S 2ND Ave
Covina, CA 91723-3012
Phone
(626) 974-8123
Fax
(626) 974-8198
NPI assigned
Jul 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

508 S 2ND Ave
Covina, CA 91723-3012

Mailing address

3430 Cogswell Rd
El Monte, CA 91732-2785
Phone (626) 453-3406

Other practice location 1

3430 Cogswell Rd
El Monte, CA 91732
Phone (626) 453-3406

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

Practice roles

OrganizationSpecialtyStatusNew patients
Social Model Recovery Systems, Inc. PastSince Jul 12, 2020 Accepting new patients
Social Model Recovery Systems, Inc. PastSince Jul 12, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1225524002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 COGSWELL RD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917322785",
            "telephone_number": "626-453-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S 2ND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233012",
            "telephone_number": "626-974-8123",
            "fax_number": "626-974-8198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3430 Cogswell Rd",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "91732",
            "country_code": "US",
            "telephone_number": "626-453-3406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUQ",
        "first_name": "MD",
        "middle_name": "ASHRAFUL",
        "credential": "RADT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.