NPIMap

Organization Active NPI

Gintien Huang MD Inc

Doing business as San Bernardino Eye Specialists

  • Ophthalmology Physician
  • San Bernardino, CA
National Provider Identifier
1609437599
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GINTIEN HUANG MD INC
Doing business as
San Bernardino Eye Specialists
Practice address
1909 N Waterman Ave Ste 3
San Bernardino, CA 92404-4842
Phone
(908) 882-8829
NPI assigned
Jun 22, 2019
Last updated
Aug 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Authorized official

Name
Dr. Gintien Huang, MDNPI 1225325129
Title
Owner
Phone
(909) 882-8829

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1909 N Waterman Ave Ste 3
San Bernardino, CA 92404-4842

Mailing address

1909 N Waterman Ave Ste 3
San Bernardino, CA 92404-4842
Phone (908) 882-8829

Other names 1

  • San Bernardino Eye Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191104002280 CA Part B Supplier - Clinic/Group Practice 7214269646 Receives reassigned benefits from 7 practitioners
Practice locations: Fontana, CA; Riverside, CA; San Bernardino, CA

National Provider Directory

National Provider Directory

Locations

8275 Sierra Ave
Ste 103
Fontana, CA 92335
Phone (909) 822-1115

6216 Brockton Ave
Ste 216
Riverside, CA 92506
Phone (951) 376-3352

1909 N Waterman Ave
Ste 3
Sn Bernrdno, CA 92404
Phone (626) 376-8463

Practitioners & affiliated clinicians

Practitioners 10

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": "1561161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1609437599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 N WATERMAN AVE STE 3",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044842",
            "telephone_number": "908-882-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 N WATERMAN AVE STE 3",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044842",
            "telephone_number": "908-882-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINTIEN HUANG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-22",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "GINTIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-882-8829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Bernardino Eye Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Bernardino Eye Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.