Organization Active NPI

Vineyard Pediatric Medical Clinic a Professional Corporation

  • Specialist
  • Hacienda HTS, CA
National Provider Identifier
1477726586
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G69976 Issued in CA
Legal business name
VINEYARD PEDIATRIC MEDICAL CLINIC A PROFESSIONAL CORPORATION
Practice address
1850 S Azusa Ave
Suite 209
Hacienda HTS, CA 91745-6813
Phone
(626) 810-8688
Fax
(626) 810-8978
NPI assigned
Apr 9, 2008
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Helen C Huang, M.D.NPI 1053322743
Title
Ceo/Physician
Phone
(626) 810-8688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G69976 CA Primary

Addresses

Primary practice location

1850 S Azusa Ave
Suite 209
Hacienda HTS, CA 91745-6813

Mailing address

1850 S Azusa Ave
Suite 209
Hacienda HTS, CA 91745-6813
Phone (626) 810-8688

Other identifiers 1

IdentifierTypeStateIssuer
00G699760MedicaidCA

National Provider Directory

National Provider Directory

Locations

1850 S Azusa Ave
Ste 209
Hacienda Hts, CA 91745
Phone (626) 810-8688

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1477726586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE",
            "address_2": "SUITE 209",
            "city": "HACIENDA HTS",
            "state": "CA",
            "postal_code": "917456813",
            "telephone_number": "626-810-8688",
            "fax_number": "626-810-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE",
            "address_2": "SUITE 209",
            "city": "HACIENDA HTS",
            "state": "CA",
            "postal_code": "917456813",
            "telephone_number": "626-810-8688",
            "fax_number": "626-810-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINEYARD PEDIATRIC MEDICAL CLINIC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "626-810-8688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G69976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G699760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda HTS, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.