Organization Active NPI

Eng Huan and Tin Hla Medical Corporation

  • Pulmonary Disease Physician
  • San Jose, CA
National Provider Identifier
1487773693
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A36658(ENG HUAN) Issued in CA
Legal business name
ENG HUAN AND TIN HLA MEDICAL CORPORATION
Practice address
200 Jose Figueres Ave
Suite 430
San Jose, CA 95116-1500
Phone
(408) 929-6088
Fax
(408) 929-6087
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Tin Tin Hla, MDNPI 1326098179
Title
Vice President
Phone
(408) 929-6088

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X A36658 (ENG HUAN) CA
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X A36657 (TIN T HLA) CA
Hematology & Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0003X A36657 (TIN HLA) CA
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X A36658(ENG HUAN) CA Primary

Addresses

Primary practice location

200 Jose Figueres Ave
Suite 430
San Jose, CA 95116-1500

Mailing address

200 Jose Figueres Ave
Suite 430
San Jose, CA 95116-1500
Phone (408) 929-6088

Other identifiers 4

IdentifierTypeStateIssuer
00A366580MedicaidCA
1326098179OtherINDIVI NPI FOR DR. HLA
00A366570MedicaidCA
1265482020OtherINDIVIDUANPI FOR DR. HUAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081112000274 CA Part B Supplier - Clinic/Group Practice 9234298738 Receives reassigned benefits from 2 practitioners
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

200 Jose Figueres Ave
Ste 430
San Jose, CA 95116
Phone (408) 540-3933

Practitioners & affiliated clinicians

Practitioners 2

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1487773693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "SUITE 430",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161500",
            "telephone_number": "408-929-6088",
            "fax_number": "408-929-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "SUITE 430",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161500",
            "telephone_number": "408-929-6088",
            "fax_number": "408-929-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENG HUAN AND TIN HLA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HLA",
        "authorized_official_first_name": "TIN",
        "authorized_official_middle_name": "TIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "408-929-6088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A36658 (ENG HUAN)",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A36657 (TIN T HLA)",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A36657 (TIN HLA)",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A36658(ENG HUAN)",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A366580",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVI NPI FOR DR. HLA",
            "identifier": "1326098179",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A366570",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUANPI FOR DR. HUAN",
            "identifier": "1265482020",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.