Individual provider Active NPI

Eng H Huan, M.D.

  • Pulmonary Disease Physician
  • San Jose, CA
National Provider Identifier
1265482020
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A36658 Issued in CA
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
#73OtherCASANTA CLARA IPA
00A366580MedicaidCA
05-0215OtherCASAN JOSE MED CEN. TAX ID
110027446OtherCARAILROAD MEDICARE
770375452OtherCACPA TAX ID NUM
A36658OtherCACA. PHYS. LIC.
62-1763091OtherCASAN 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081112000380 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5890854301 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A36658CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eng Huan and Tin Hla Medical Corporation Internal Medicine CurrentSince Jan 28, 2008 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.