Individual provider Active NPI

Nina Xiao Hwang, MD

  • Pediatrics Physician
  • Orange, CA
National Provider Identifier
1427286343
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A107879 Issued in CA
Practice address
701 South Parker Street
Suite 1000
Orange, CA 92868
Phone
(714) 221-1200
Fax
(714) 221-1299
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0207X A107879 CA
Pediatrics Physician 208000000X A107879 CA Primary

Addresses

Primary practice location

701 South Parker Street
Suite 1000
Orange, CA 92868

Mailing address

701 South Parker Street
Suite 1000
Orange, CA 92868-4306
Phone (714) 221-1200

Other identifiers 1

IdentifierTypeStateIssuer
1427286343MedicaidCA

Other names 1

  • Nina X. Luna Former 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
I20140108000597 CA Practitioner - Pediatric MedicinePractitioner - Hematology 9234367749 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Hematology
Education
Chicago College of Medicine and Surgery, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

701 S Parker St
Suite 1000
Orange, CA 92868-4748
Phone (714) 221-1200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
107879CAMDDentist
A107879CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Comprehensive Care & Diagnosis of Inherited Blood Disorders Multi-Specialty CurrentSince Jul 13, 2013 Accepting new patients
The Center for Comprehensive Care and Diagnosis of Inherited Blood Dis CurrentSince Jul 13, 2013 Accepting new patients
Children'S Hospital of Orange County Multi-Specialty CurrentSince Oct 13, 2018 Accepting new patients
UC Regents Uci Dept of Pediatrics Multi-Specialty CurrentSince Sep 25, 2015 Accepting new patients

Locations

1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481

701 S Parker St
Ste 1000
Orange, CA 92868
Phone (714) 221-1200

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

Dept LA 21333
Pasadena, CA 91185

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nhwang@cibd.directglo.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1427286343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SOUTH PARKER STREET",
            "address_2": "SUITE 1000",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684306",
            "telephone_number": "714-221-1200",
            "fax_number": "714-221-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SOUTH PARKER STREET",
            "address_2": "SUITE 1000",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-221-1200",
            "fax_number": "714-221-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "NINA",
        "middle_name": "XIAO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "CA",
            "license": "A107879",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A107879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427286343",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "LUNA",
            "middle_name": "X.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.