Individual provider Active NPI

Chau Quang Huynh, M.D.

  • Diagnostic Radiology Physician
  • Fullerton, CA
National Provider Identifier
1649434390
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A84403 Issued in CA
Practice address
101 East Valencia Mesa Drive
St Jude Radiology Medical Group
Fullerton, CA 92835
Phone
(714) 922-3978
Fax
(714) 446-5908
NPI assigned
Jul 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A84403 CA Primary

Addresses

Primary practice location

101 East Valencia Mesa Drive
St Jude Radiology Medical Group
Fullerton, CA 92835

Mailing address

101 East Valencia Mesa Drive
St Jude Radiology Medical Group
Fullerton, CA 92835
Phone (714) 922-3978

Other identifiers 2

IdentifierTypeStateIssuer
MD15261OtherHISTATE LICENSE
A84403OtherCASTATE LICENSE

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
I20100626000533 CA Practitioner - Diagnostic Radiology 9335293588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Jude Radiology Medical Group IncGroup PAC ID 7214838002, 61 clinicians

Practice addresses (Care Compare)

101 E Valencia Mesa Dr
Fullerton, CA 92835-3809
Phone 71499230001805

2141 N Harbor Blvd
Suite 16000
Fullerton, CA 92835-3828
Phone 71499230001805

2251 N Harbor Blvd
Fullerton, CA 92835-2601
Phone 71499230001805

3033 Lakeview Ter
Fullerton, CA 92835-1400
Phone 71499230001805

4300 Rose Dr
Yorba Linda, CA 92886-2026
Phone 71499230001805

Hospital & facility affiliations

  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168
  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Merit-based Incentive Payment System (MIPS)

Final score
80.79 of 100Reported as group
Quality
75.74
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A84403CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Oc Imaging JV, LLC CurrentSince Dec 1, 2021 Accepting new patients
St Jude Radiology Medical Group Inc Diagnostic Radiology CurrentSince May 17, 2010 Accepting new patients
North Oc Imaging JV, LLC CurrentSince Dec 1, 2021 Accepting new patients
The Radiology Group Inc. Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients

Locations

5630 E Santa Ana Canyon Rd
Anaheim, CA 92807
Phone (714) 257-6170

8078 E Santa Ana Canyon Rd
Anaheim, CA 92808
Phone (714) 974-2900

955 W Imperial Hwy
Brea, CA 92821
Phone (714) 449-6900

1514 Valley Vista Dr
Diamond Bar, CA 91765
Phone (909) 560-1144

100 E Valencia Mesa Dr
Ste 108
Fullerton, CA 92835

2151 N Harbor Blvd
Ste 3100
Fullerton, CA 92835
Phone (530) 999-2533

2151 N Harbor Blvd
Ste 2100
Fullerton, CA 92835
Phone (714) 446-7181

2151 N Harbor Blvd
Ste 1400
Fullerton, CA 92835
Phone (417) 446-5600

1835 Sunny Crest Dr
Fullerton, CA 92835
Phone (714) 446-5101

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

2251 N Harbor Blvd
Fullerton, CA 92835
Phone (714) 449-6230

2141 N Harbor Blvd
Ste 16000
Fullerton, CA 92835
Phone (714) 446-5600

731 N Beach Blvd
Ste 175
La Habra, CA 90631
Phone (562) 697-6030

10833 Le Conte Ave
Los Angeles, CA 90095
Phone (310) 301-8932

4300 Rose Dr
Yorba Linda, CA 92886
Phone (714) 528-4211

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1649434390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EAST VALENCIA MESA DRIVE",
            "address_2": "ST JUDE RADIOLOGY MEDICAL GROUP",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92835",
            "telephone_number": "714-922-3978",
            "fax_number": "714-446-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EAST VALENCIA MESA DRIVE",
            "address_2": "ST JUDE RADIOLOGY MEDICAL GROUP",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92835",
            "telephone_number": "714-922-3978",
            "fax_number": "714-446-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "CHAU",
        "middle_name": "QUANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-11",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A84403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD15261",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A84403",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.