Individual provider Active NPI

Xiaoguang Huang, M.D., PHD.

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1235179870
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A64820 Issued in CA
Practice address
345 9TH St
Suite 307
Oakland, CA 94607-6522
Phone
(510) 663-9518
Fax
(510) 663-9520
NPI assigned
Jun 8, 2006
Last updated
Aug 31, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A64820 CA Primary

Addresses

Primary practice location

345 9TH St
Suite 307
Oakland, CA 94607-6522

Mailing address

345 9TH St
Suite 307
Oakland, CA 94607-6522
Phone (510) 663-9518

Other identifiers 1

IdentifierTypeStateIssuer
00A648201MedicaidCA

Other names 1

  • Guang Xiao Huang Other name

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
I20041028000308 CA Practitioner - Internal Medicine 2769444132 Practice locations: Oakland, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

388 9TH St
Suite 203
Oakland, CA 94607-4293
Phone (510) 663-9518

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A64820CAMDInternal Medicine Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1235179870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 9TH ST",
            "address_2": "SUITE 307",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946076522",
            "telephone_number": "510-663-9518",
            "fax_number": "510-663-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 9TH ST",
            "address_2": "SUITE 307",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946076522",
            "telephone_number": "510-663-9518",
            "fax_number": "510-663-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "XIAOGUANG",
        "credential": "M.D., PHD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A64820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A648201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUANG",
            "last_name": "HUANG",
            "middle_name": "XIAO",
            "credential": "M.D., PHD.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.