Organization Active NPI

Wayne Huo Chiropractic Corp.

  • Chiropractor
  • Baldwin Park, CA
National Provider Identifier
1245062611
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WAYNE HUO CHIROPRACTIC CORP.
Practice address
1620 Puente Ave Ste C
Baldwin Park, CA 91706-5994
Phone
(626) 552-5880
NPI assigned
Aug 15, 2024
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Mr. Wayne Huo, DCNPI 1851701031
Title
Ceo
Phone
(626) 552-5880

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Acupuncturist 171100000X NU

Addresses

Primary practice location

1620 Puente Ave Ste C
Baldwin Park, CA 91706-5994

Mailing address

1845 S Lang Ave
West Covina, CA 91790-4454
Phone (626) 552-5880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250211003202 CA Part B Supplier - Clinic/Group Practice 6305384017 Receives reassigned benefits from 1 practitioner
Practice locations: Baldwin Park, CA

National Provider Directory

National Provider Directory

Locations

1620 Puente Ave
Ste C
Baldwin Park, CA 91706
Phone (626) 552-5880

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": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1245062611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 S LANG AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904454",
            "telephone_number": "626-552-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 PUENTE AVE STE C",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065994",
            "telephone_number": "626-552-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE HUO CHIROPRACTIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "HUO",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-552-5880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.