Individual provider Active NPI

Gary Hoang

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
National Provider Identifier
1649667965
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1500 San Pablo St
Los Angeles, CA 90033-5313
Phone
(323) 409-7677
NPI assigned
Apr 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A168696 CA
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1500 San Pablo St
Los Angeles, CA 90033-5313

Mailing address

1500 San Pablo St FL 2
Los Angeles, CA 90033-5313

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gary.hoang@direct.usc.edu Direct LAC USC Keck School of Medicine

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
I20210525003212 CA Practitioner - Diagnostic Radiology 1759702707 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
West Virginia University School of Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1150 G Pittsford-Victor Rd
Pittsford, NY 14534-3818

1500 San Pablo St
Los Angeles, CA 90033-5313

1510 Cotner Ave
Los Angeles, CA 90025-3303

PHR Group Provider Enrollment Unit
Pasadena, CA 91188-0001

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A168696CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Sep 9, 2025 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince May 14, 2021 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince May 13, 2021 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince May 13, 2021 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 9, 2025 Accepting new patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology CurrentSince May 13, 2021 Accepting new patients

Locations

3733 San Dimas St
Ste 101
Bakersfield, CA 93301
Phone (800) 353-5400

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000

3440 California St
San Francisco, CA 94118
Phone (415) 922-6767

114 La Casa Via
Ste 100
Walnut Creek, CA 94598
Phone (925) 937-6100

Interoperability endpoints

  • Direct secure messaging: gary.hoang@direct.usc.edu

Organizations & group practices 6

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": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1649667965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SAN PABLO ST FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAN PABLO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335313",
            "telephone_number": "323-409-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "GARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-24",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A168696",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gary.hoang@direct.usc.edu",
            "affiliation": "Y",
            "affiliationName": "LAC USC Keck School of Medicine",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1500 San Pablo St",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900335313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.