Individual provider Active NPI

Huy Quang Han, M.D.

  • Nephrology Physician
  • El Monte, CA
National Provider Identifier
1649321761
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A066690 Issued in CA
Practice address
11028 Lower Azusa Rd
Suite C
El Monte, CA 91731-1440
Phone
(626) 455-0048
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A066690 CA
Nephrology Physician 207RN0300X A066690 CA Primary
Pediatrics Physician 208000000X A066690 CA

Addresses

Primary practice location

11028 Lower Azusa Rd
Suite C
El Monte, CA 91731-1440

Mailing address

11028 Lower Azusa Rd
Suite C
El Monte, CA 91731-1440
Phone (626) 455-0048

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040716001179 CA Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Nephrology 4880673318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
University of Southern California Keck School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11028 Lower Azusa Rd
Suite C
El Monte, CA 91731-5406
Phone (626) 455-0048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A066690CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 24, 2014 Accepting new patients
HQ Medical Inc. CurrentSince Apr 1, 2014 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 24, 2014 Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Riverside Medical Group PC Internal Medicine Past Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

11028 Lower Azusa Rd
Ste C
El Monte, CA 91731
Phone (626) 455-0047

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1649321761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11028 LOWER AZUSA RD",
            "address_2": "SUITE C",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917311440",
            "telephone_number": "626-455-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11028 LOWER AZUSA RD",
            "address_2": "SUITE C",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917311440",
            "telephone_number": "626-455-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "HUY",
        "middle_name": "QUANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A066690",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A066690",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A066690",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.