Individual provider Active NPI

Jean Huang, NP

  • Primary Care Nurse Practitioner
  • Victorville, CA
National Provider Identifier
1487106464
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
655432 Issued in CA
Practice address
17290 Jasmine St
Victorville, CA 92395-7709
Phone
(760) 951-2400
NPI assigned
Oct 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 655432 CA Primary

Addresses

Primary practice location

17290 Jasmine St
Victorville, CA 92395-7709

Mailing address

309 W Beverly Blvd
Montebello, CA 90640-4308
Phone (323) 725-4225

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
I20181016002564 CA Practitioner - Nurse Practitioner 6901158146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians Urgent Care IncGroup PAC ID 8527234418, 138 clinicians

Practice addresses (Care Compare)

9710 Brimhall Rd
Bakersfield, CA 93312-2779
Phone (661) 829-6747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Urgent Care Inc. CurrentSince May 15, 2025 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince May 15, 2025 Accepting new patients
Choice Physicians Network, Inc. Past Accepting new patients

Locations

2400 K St
Bakersfield, CA 93301
Phone (661) 885-9909

2251 Mount Vernon Ave
Bakersfield, CA 93306
Phone (661) 624-0404

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

4871 White Ln
Bakersfield, CA 93309
Phone (661) 832-1679

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

4040 California Ave
Bakersfield, CA 93309
Phone (661) 336-2050

212 Coffee Rd
Bakersfield, CA 93309
Phone (661) 829-6937

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

32860 Pacific Coast Hwy
Ste 24
Dana Point, CA 92629
Phone (949) 441-2922

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

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": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1487106464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404308",
            "telephone_number": "323-725-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17290 JASMINE ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957709",
            "telephone_number": "760-951-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "JEAN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "655432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.