Lisa Huang, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95010102 Issued in CA

Practice address

2705 S Diamond Bar Blvd Ste 100
Diamond Bar, CA 91765-3557

Phone

(626) 965-1988

NPI assigned

May 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Goldome Healthcare Inc.

  • Primary Care Clinic/Center
  • Pomona, CA
  • NPI 1295154672
  Medicare reassignment NPD
• Nilesh N. Patel MD Inc

  • Infectious Disease Physician
  • Glendora, CA
  • NPI 1114512498
  Medicare reassignment NPD
• A-One Medical Group, Inc. a Professional Corporation

  • Family Medicine Physician
  • Diamond Bar, CA
  • NPI 1306006655
  NPD (past)
• Jacklin Poladian, M.D., Inc.

  • Primary Care Clinic/Center
  • Pasadena, CA
  • NPI 1598033920
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631404800000",
    "number": "1629634852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 S DIAMOND BAR BLVD STE 100",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653557",
            "telephone_number": "626-965-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 S DIAMOND BAR BLVD STE 100",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653557",
            "telephone_number": "626-965-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "LISA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95010102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hsing Jerry Hsueh, RPH
• Calen Huang, DMS
• CHI-Yu Arthur Huang, D.D.S.
• Jian Hua Huang
• John C Huang, SLP
• Polly Huang
• Sen-Jung Huang
• Yung Ju Huang, LAC
• Yung Lin Huang, M.D.
• Sarah Catherine Huizenga, MSW, LCSW

• Adult Health Nurse Practitioner in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2021; 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.

Verify at the official NPI Registry.