Individual provider Active NPI

Victor Chong Huang, PA

  • Physician Assistant
  • Milpitas, CA
National Provider Identifier
1326602541
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
56928 Issued in CA
Practice address
1313 N Milpitas Blvd Ste 265
Milpitas, CA 95035-3190
Phone
(844) 310-2247
NPI assigned
Apr 23, 2019
Last updated
Dec 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 56928 CA Primary

Addresses

Primary practice location

1313 N Milpitas Blvd Ste 265
Milpitas, CA 95035-3190

Mailing address

27674 Newhall Ranch Rd
Ste C85
Valencia, CA 91355-4020
Phone (661) 383-7136

Other practice location 1

27674 Newhall Ranch Rd Ste C85
Valencia, CA 91355-4018
Phone (661) 383-7136

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241226002429 CA Practitioner - Physician Assistant 2668807637 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
56928CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Mobile Physicians Network, Inc CurrentSince Jun 1, 2020 Accepting new patients

Locations

27674 Newhall Ranch Rd
Ste C85
Valencia, CA 91355
Phone (661) 561-8444

28212 Kelly Johnson Pkwy
Ste 200
Valencia, CA 91355
Phone (661) 388-5945

Interoperability endpoints

  • Direct secure messaging: victor.huang.1@29786.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1326602541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27674 NEWHALL RANCH RD",
            "address_2": "STE C85",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554020",
            "telephone_number": "661-383-7136",
            "fax_number": "818-356-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 N MILPITAS BLVD STE 265",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950353190",
            "telephone_number": "844-310-2247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27674 Newhall Ranch Rd Ste C85",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913554018",
            "country_code": "US",
            "telephone_number": "661-383-7136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUANG",
        "first_name": "VICTOR",
        "middle_name": "CHONG",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

Verify at the official NPI Registry.