Active NPI
Justine Liao Huang, PA-C
- Physician Assistant
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA57900
- Practice address
- 2725 Pacific Ave
Long Beach, CA 90806-2612 - Phone
- (949) 371-9773
- NPI assigned
- Mar 17, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA57900 | CA | Primary |
Addresses
Primary practice location
2725 Pacific Ave
Long Beach, CA 90806-2612
Mailing address
6130 Paisley St
Houston, TX 77096-3725
Phone (713) 732-0677
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: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
20911 Earl St
Suite 140
Torrance, CA 90503-4353
Phone (310) 542-0199
23600 Telo Ave
Suite 220
Torrance, CA 90505-4039
Phone (310) 534-8400
9850 Genesee Ave
Suite 440
La Jolla, CA 92037-1212
Phone (858) 453-5944
Hospital & facility affiliations
- Torrance Memorial Medical Center
- Providence Little Company of Mary Med Ctr Torrance
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA57900 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skyline Urology | Current | Accepting new patients | |
| Urology Institute of the South Bay | Current | Accepting new patients |
Locations
23600 Telo Ave
Ste 220
Torrance, CA 90505
Phone (310) 534-8400
20911 Earl St
Ste 140
Torrance, CA 90503
Phone (310) 542-0199
Interoperability endpoints
- justine.huang.1@3663.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Specialist
- Encinitas, CA
- NPI 1548567498
-
- Skilled Nursing Facility
- Hermosa Beach, CA
- NPI 1528410842
-
- Specialist
- Torrance, CA
- NPI 1730136573
-
- Urology Physician
- Torrance, CA
- NPI 1801804760
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1467459776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1609402148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6130 PAISLEY ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770963725",
"telephone_number": "713-732-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 PACIFIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062612",
"telephone_number": "949-371-9773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "JUSTINE",
"middle_name": "LIAO",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-17",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA57900",
"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 Mar 17, 2020; 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.