Organization Active NPI

Huntington Geriatric Medical Group

  • Geriatric Medicine (Family Medicine) Physician
  • Pasadena, CA
National Provider Identifier
1265627277
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
A062136 Issued in CA
Legal business name
HUNTINGTON GERIATRIC MEDICAL GROUP
Practice address
2100 E Colorado Blvd
Suite 1
Pasadena, CA 91107-3545
Phone
(626) 229-9865
Fax
(626) 229-9867
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Dr. Norman Tien-Yo Chien, MDNPI 1184696999
Title
President
Phone
(626) 229-9865

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X A062136 CA Primary

Addresses

Primary practice location

2100 E Colorado Blvd
Suite 1
Pasadena, CA 91107-3545

Mailing address

2100 E Colorado Blvd
Suite 1
Pasadena, CA 91107-3545
Phone (626) 229-9865

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080214000190 CA Part B Supplier - Clinic/Group Practice 4688757685 Receives reassigned benefits from 9 practitioners
Practice locations: Pasadena, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1092171Huntington Geriatric Medical Group2100 E Colorado Blvd Ste 1, Pasadena, CA 91107Certificate of waiverNov 17, 2026

National Provider Directory

National Provider Directory

Locations

180 N San Gabriel Blvd
Ste 200
Pasadena, CA 91107
Phone (626) 533-1279

2100 E Colorado Blvd
Ste 1
Pasadena, CA 91107
Phone (626) 229-9865

4619 Rosemead Blvd
Ste 2
Rosemead, CA 91770

824 S Gladys Ave
San Gabriel, CA 91776
Phone (626) 287-0753

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1265627277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E COLORADO BLVD",
            "address_2": "SUITE 1",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073545",
            "telephone_number": "626-229-9865",
            "fax_number": "626-229-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E COLORADO BLVD",
            "address_2": "SUITE 1",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073545",
            "telephone_number": "626-229-9865",
            "fax_number": "626-229-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON GERIATRIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "CHIEN",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "TIEN-YO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-229-9865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A062136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.