Active NPI
Henry Hsu, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Long Beach, CA
National Provider Identifier
1548834781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 111562
- Practice address
- 4231 Long Beach Blvd
Long Beach, CA 90807-2003 - Phone
- (562) 912-4525
- NPI assigned
- May 13, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 111562 | CA | Primary |
Addresses
Primary practice location
4231 Long Beach Blvd
Long Beach, CA 90807-2003
Mailing address
4231 Long Beach Blvd
Long Beach, CA 90807-2003
Other practice location 1
914 Washburn Ave Ste 3
Corona, CA 92882-4362
Phone (951) 736-8133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210603002675 | CT | Order and Referring Only - Oral Surgery | 5092114595 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111562 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
Interoperability endpoints
- hhsu514804@direct.ynhh.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1548834781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4231 LONG BEACH BLVD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908072003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4231 LONG BEACH BLVD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908072003",
"telephone_number": "562-912-4525"
}
],
"practiceLocations": [
{
"address_1": "914 Washburn Ave Ste 3",
"address_purpose": "LOCATION",
"city": "Corona",
"state": "CA",
"postal_code": "928824362",
"country_code": "US",
"telephone_number": "951-736-8133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HSU",
"first_name": "HENRY",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-13",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "111562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.