Individual provider Active NPI

Keun-Heng Huo, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Fountain Valley, CA
National Provider Identifier
1306158506
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
117599 Issued in CA
Practice address
18035 Brookhurst St
Ste 1200
Fountain Valley, CA 92708-6738
Phone
(949) 691-3131
Fax
(949) 940-8311
NPI assigned
Jul 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X A117599 CA
Orthopaedic Surgery of the Spine Physician 207XS0117X 117599 CA Primary

Addresses

Primary practice location

18035 Brookhurst St
Ste 1200
Fountain Valley, CA 92708-6738

Mailing address

17870 Newhope St
Ste 104-321
Fountain Valley, CA 92708-5439
Phone (949) 586-3200

Other names 1

  • Stephen Huo 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
I20160826000936 CA Practitioner - Orthopedic Surgery 2163734799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, Geffen School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9940 Talbert Ave
Suite 202
Fountain Valley, CA 92708-5153
Phone (949) 691-3131

Hospital & facility affiliations

  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678
  • Garden Grove Hospital & Medical Center Hospital, Garden Grove, CA, CCN 050230
  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603
  • Huntington Beach Hospital Hospital, Huntington Beach, CA, CCN 050526

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
117599CAMDClinical Social Worker
A117599CAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keun-Heng Huo, MD, Inc. Orthopaedic Surgery of the Spine CurrentSince May 28, 2019 Accepting new patients
Orthocare Health, PC Orthopaedic Surgery of the Spine Current Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Borys Gvozdyev MD a Professional Medical Corporation Orthopaedic Surgery of the Spine Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients

Locations

17870 Newhope St
Ste 104321
Fountain Valley, CA 92708

9940 Talbert Ave
Ste 202
Fountain Valley, CA 92708
Phone (714) 378-5516

17870 Newhope St
#104321
Fountain Valley, CA 92708

18035 Brookhurst St
Ste 1200
Fountain Vly, CA 92708
Phone (714) 963-7240

12601 Garden Grove Blvd
Garden Grove, CA 92843
Phone (714) 537-5160

17772 Beach Blvd
Huntington Beach, CA 92647
Phone (714) 842-1473

5750 Downey Ave
Ste 201
Lakewood, CA 90712
Phone (562) 633-1616

31920 Del Obispo St
Ste 170
San Juan Capo, CA 92675
Phone (949) 691-3131

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: khuo163549@direct.memorialcare.org

Organizations & group practices 5

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.

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": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1306158506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17870 NEWHOPE ST",
            "address_2": "STE 104-321",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085439",
            "telephone_number": "949-586-3200",
            "fax_number": "949-900-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18035 BROOKHURST ST",
            "address_2": "STE 1200",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086738",
            "telephone_number": "949-691-3131",
            "fax_number": "949-940-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUO",
        "first_name": "KEUN-HENG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-06",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A117599",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "117599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHEN",
            "last_name": "HUO",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.