Active NPI
Johnny Chong Huang, D.P.M.
- Podiatrist
- Montebello, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E5501
- Practice address
- 1417 W Beverly Blvd Ste 104
Montebello, CA 90640-4125 - Phone
- (323) 721-6026
- NPI assigned
- Apr 1, 2016
- Last updated
- Oct 20, 2022
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E5501 | CA | Primary |
Addresses
Primary practice location
1417 W Beverly Blvd Ste 104
Montebello, CA 90640-4125
Mailing address
1417 W Beverly Blvd Ste 104
Montebello, CA 90640-4125
Phone (323) 721-6026
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1417 W Beverly Blvd
Suite 104
Montebello, CA 90640-4125
Phone (323) 721-6026
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 35 |
| Removal of skin lesions | 26 |
| Removal of nail tissue | 513 |
| Removal or shaving of skin growth | 192 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5501 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Foot Center Podiatry Group Inc. | Podiatrist | Current | Accepting new patients |
| West Beverly Podiatry Group, Inc. | Podiatrist | Current | Accepting new patients |
| Primecare Medical Group | Past | Accepting new patients | |
| West Beverly Podiatry Group, Inc | Podiatrist | Past | Accepting new patients |
Locations
15315 Fairfield Ranch Rd
Ste 220
Chino Hills, CA 91709
Phone (909) 789-1130
931 Buena Vista St
Ste 305
Duarte, CA 91010
Phone (626) 447-5122
16465 Sierra Lakes Pkwy
Ste 240
Fontana, CA 92336
Phone (909) 355-3100
16465 Sierra Lakes Pkwy
Ste 245
Fontana, CA 92336
Phone (909) 350-3003
1417 W Beverly Blvd
Ste 104
Montebello, CA 90640
Phone (323) 721-6026
1601 W Beverly Blvd
Montebello, CA 90640
Phone (323) 721-6026
728 N Euclid Ave
Ontario, CA 91762
Phone (909) 984-5614
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Podiatrist
- Montebello, CA
- NPI 1285640649
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- Ontario, CA
- NPI 1235332396
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- Podiatrist
- Arcadia, CA
- NPI 1538175997
-
- Internal Medicine Physician
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- NPI 1093720427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1568825958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 W BEVERLY BLVD STE 104",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404125",
"telephone_number": "323-721-6026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 W BEVERLY BLVD STE 104",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404125",
"telephone_number": "323-721-6026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "JOHNNY",
"middle_name": "CHONG",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-01",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E5501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.