Active NPI
Xiaoqiong Huang
- Nurse Practitioner
- San Gabriel, CA
National Provider Identifier
1487119103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95011069
- Practice address
- 316 E Las Tunas Dr Ste 101
San Gabriel, CA 91776-1535 - Phone
- (626) 286-6168
- NPI assigned
- Feb 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95011069 | CA | Primary |
Addresses
Primary practice location
316 E Las Tunas Dr Ste 101
San Gabriel, CA 91776-1535
Mailing address
244 N San Marino Ave
San Gabriel, CA 91775-2910
Phone (310) 600-4718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95011069 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1487119103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 N SAN MARINO AVE",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917752910",
"telephone_number": "310-600-4718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 E LAS TUNAS DR STE 101",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761535",
"telephone_number": "626-286-6168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "XIAOQIONG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-06",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95011069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.