Individual provider Active NPI

David Chun Kang Huang, MD

  • Internal Medicine Physician
  • Costa Mesa, CA
National Provider Identifier
1306919691
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A44680 Issued in CA
Practice address
275 Victoria St
Suite# 2B
Costa Mesa, CA 92627-1906
Phone
(949) 722-6178
Fax
(949) 722-6908
NPI assigned
Nov 16, 2006
Last updated
Aug 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A44680 CA Primary

Addresses

Primary practice location

275 Victoria St
Suite# 2B
Costa Mesa, CA 92627-1906

Mailing address

275 Victoria St
Suite# 2B
Costa Mesa, CA 92627-1906
Phone (949) 722-6178

Other identifiers 1

IdentifierTypeStateIssuer
00A44680MedicaidCA

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
I20101213000327 CA Practitioner - Internal Medicine 2365639614 Practice locations: Costa Mesa, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

275 Victoria St
2B
Costa Mesa, CA 92627-1906
Phone (949) 722-6178

Hospital & facility affiliations

National Provider Directory

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Hospital & facility affiliations 2

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1306919691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 VICTORIA ST",
            "address_2": "SUITE# 2B",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271906",
            "telephone_number": "949-722-6178",
            "fax_number": "949-722-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 VICTORIA ST",
            "address_2": "SUITE# 2B",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271906",
            "telephone_number": "949-722-6178",
            "fax_number": "949-722-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "DAVID",
        "middle_name": "CHUN KANG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A44680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A44680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.