Individual provider Active NPI

Ocean H. Hu, DDS

  • Dentist
  • Modesto, CA
National Provider Identifier
1467457333
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52993 Issued in CA
Practice address
3025 McHenry Ave
Suite N
Modesto, CA 95350-1466
Phone
(209) 527-3990
Fax
(209) 524-9922
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 52993 CA Primary

Addresses

Primary practice location

3025 McHenry Ave
Suite N
Modesto, CA 95350-1466

Mailing address

3025 McHenry Ave
Suite N
Modesto, CA 95350-1466
Phone (209) 527-3990

Other names 1

  • Dr. Hai-Yang Hu 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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250213003738 CA Practitioner - Dentist 8729518170 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Round Valley Indian Health Center, Inc. CurrentSince Jan 31, 2025 Accepting new patients
St. Joseph Health Northern California, LLC PastSince Jan 31, 2025 Accepting new patients
Round Valley Indian Health Center Past Accepting new patients

Organizations & group practices 3

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1467457333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 MCHENRY AVE",
            "address_2": "SUITE N",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501466",
            "telephone_number": "209-527-3990",
            "fax_number": "209-524-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 MCHENRY AVE",
            "address_2": "SUITE N",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501466",
            "telephone_number": "209-527-3990",
            "fax_number": "209-524-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HU",
        "first_name": "OCEAN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "52993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAI-YANG",
            "last_name": "HU",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.