Individual provider Active NPI

Justin Hua

  • Optometrist
  • Riverside, CA
National Provider Identifier
1386405975
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35625 Issued in CA
Practice address
6216 Brockton Ave Ste 214
Riverside, CA 92506-2223
Phone
(951) 376-3352
Fax
(951) 376-3918
NPI assigned
Jan 19, 2024
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35625 CA Primary

Addresses

Primary practice location

6216 Brockton Ave Ste 214
Riverside, CA 92506-2223

Mailing address

6216 Brockton Ave Ste 214
Riverside, CA 92506-2223
Phone (951) 376-3352

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220002370 CA Practitioner - Optometry 6507200359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gintien Huang MD IncGroup PAC ID 7214269646, 6 clinicians

Practice addresses (Care Compare)

1909 N Waterman Ave
Suite 3
San Bernardino, CA 92404-4842
Phone (909) 882-8829

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35625CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ayaz O Khan Inc CurrentSince Dec 1, 2024 Accepting new patients
Gintien Huang MD Inc Optometrist CurrentSince Dec 1, 2024 Accepting new patients

Locations

8275 Sierra Ave
Ste 103
Fontana, CA 92335
Phone (909) 822-1115

6216 Brockton Ave
Ste 216
Riverside, CA 92506
Phone (951) 376-3352

1909 N Waterman Ave
Ste 3
Sn Bernrdno, CA 92404
Phone (626) 376-8463

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1386405975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 BROCKTON AVE STE 214",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062223",
            "telephone_number": "951-376-3352",
            "fax_number": "951-376-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 BROCKTON AVE STE 214",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062223",
            "telephone_number": "951-376-3352",
            "fax_number": "951-376-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUA",
        "first_name": "JUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-19",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.