Active NPI
Eng H Huan, M.D.
- Pulmonary Disease Physician
- San Jose, CA
National Provider Identifier
1265482020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A36658
- Practice address
- 200 Jose Figueres Ave
Suite 430
San Jose, CA 95116-1500 - Phone
- (408) 929-6088
- Fax
- (408) 929-6087
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A36658 | CA | |
| Pulmonary Disease Physician | 207RP1001X | A36658 | CA | Primary |
Addresses
Primary practice location
200 Jose Figueres Ave
Suite 430
San Jose, CA 95116-1500
Mailing address
200 Jose Figueres Ave
Suite 430
San Jose, CA 95116-1500
Phone (408) 929-6088
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| #73 | Other | CA | SANTA CLARA IPA |
| 00A366580 | Medicaid | CA | |
| 05-0215 | Other | CA | SAN JOSE MED CEN. TAX ID |
| 110027446 | Other | CA | RAILROAD MEDICARE |
| 770375452 | Other | CA | CPA TAX ID NUM |
| A36658 | Other | CA | CA. PHYS. LIC. |
| 62-1763091 | Other | CA | SAN JOSE TX ID NUM |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A36658 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eng Huan and Tin Hla Medical Corporation | Internal Medicine | Current | Accepting new patients |
Locations
200 Jose Figueres Ave
San Jose, CA 95116
Phone (408) 259-3232
200 Jose Figueres Ave
Ste 430
San Jose, CA 95116
Phone (408) 540-3933
Interoperability endpoints
- https://api.platform.athenahealth.com/26972/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Pulmonary Disease Physician
- San Jose, CA
- NPI 1487773693
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1265482020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 JOSE FIGUERES AVE",
"address_2": "SUITE 430",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161500",
"telephone_number": "408-929-6088",
"fax_number": "408-929-6087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 JOSE FIGUERES AVE",
"address_2": "SUITE 430",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161500",
"telephone_number": "408-929-6088",
"fax_number": "408-929-6087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUAN",
"first_name": "ENG",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A36658",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A36658",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANTA CLARA IPA",
"identifier": "#73",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A366580",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAN JOSE MED CEN. TAX ID",
"identifier": "05-0215",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110027446",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CPA TAX ID NUM",
"identifier": "770375452",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA. PHYS. LIC.",
"identifier": "A36658",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAN JOSE TX ID NUM",
"identifier": "62-1763091",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.