Active NPI
Shih-Jwo Huang, M.D. PH.D. FCAP
- Anatomic Pathology & Clinical Pathology Physician
- Irvine, CA
National Provider Identifier
1669415378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A72392
- Practice address
- 15785 Laguna Canyon Rd
Suite 115
Irvine, CA 92618-3165 - Phone
- (949) 551-5525
- Fax
- (949) 551-1152
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A72392 | CA | Primary |
| Cytopathology Physician | 207ZC0500X | A72392 | CA |
Addresses
Primary practice location
15785 Laguna Canyon Rd
Suite 115
Irvine, CA 92618-3165
Mailing address
15785 Laguna Canyon Rd
Suite 115
Irvine, CA 92618-3165
Phone (949) 551-5525
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A723920 | Medicaid | CA | |
| A72392 | Other | CA | MEDICAL LICENSE |
Other names 1
- Oliver Huang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Paso County Hospital District | Past | Accepting new patients | |
| Affiliated Pathologists Medical Group, Inc. | Cytopathology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Rancho Dominguez, CA
- NPI 1730119553
Cytopathology
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1316936990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368057600000",
"number": "1669415378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15785 LAGUNA CANYON RD",
"address_2": "SUITE 115",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183165",
"telephone_number": "949-551-5525",
"fax_number": "949-551-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15785 LAGUNA CANYON RD",
"address_2": "SUITE 115",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183165",
"telephone_number": "949-551-5525",
"fax_number": "949-551-1152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "SHIH-JWO",
"credential": "M.D. PH.D. FCAP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2013-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A72392",
"primary": true
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "CA",
"license": "A72392",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A723920",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "A72392",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "OLIVER",
"last_name": "HUANG",
"credential": "M.D. PH.D. FCAP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.