Active NPI
Waverley Chuyun Hsiao
- Pharmacist
- Huntington Park, CA
National Provider Identifier
1548987316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 87056
- Practice address
- 2670 E Gage Ave Ste 10a
Huntington Park, CA 90255-7207 - Phone
- (323) 749-6500
- NPI assigned
- Oct 24, 2022
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 87056 | CA | Primary |
Addresses
Primary practice location
2670 E Gage Ave Ste 10a
Huntington Park, CA 90255-7207
Mailing address
2670 E Gage Ave Ste 10a
Huntington Park, CA 90255-7207
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 |
|---|---|---|---|
| 87056 | CA | MD | Dental Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starbright Labs Inc. | Current | Accepting new patients |
Locations
2670 E Gage Ave
Ste 10A
Huntington Park, CA 90255
Phone (323) 749-6500
Organizations & group practices 1
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": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1548987316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 E GAGE AVE STE 10A",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902557207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2670 E GAGE AVE STE 10A",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902557207",
"telephone_number": "323-749-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HSIAO",
"first_name": "WAVERLEY",
"middle_name": "CHUYUN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-24",
"last_updated": "2022-10-24",
"certification_date": "2022-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "87056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.