Individual provider Active NPI

Zhaojun Huang, NP

  • Family Nurse Practitioner
  • Bell Gardens, CA
National Provider Identifier
1700136660
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP20797 Issued in CA
Practice address
6300 Florence Ave
Bell Gardens, CA 90201-8900
Phone
(562) 928-9700
NPI assigned
Sep 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP20797 CA Primary

Addresses

Primary practice location

6300 Florence Ave
Bell Gardens, CA 90201-8900

Mailing address

203 N Raymond Ave Apt C
Alhambra, CA 91801-6608
Phone (310) 254-6318

Other practice location 1

5353 G St
Chino, CA 91710-5249
Phone (909) 590-3700

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926004344 CA Order and Referring Only - Nurse Practitioner 3274962725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP20797CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1700136660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N RAYMOND AVE APT C",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918016608",
            "telephone_number": "310-254-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 FLORENCE AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902018900",
            "telephone_number": "562-928-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5353 G St",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917105249",
            "country_code": "US",
            "telephone_number": "909-590-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUANG",
        "first_name": "ZHAOJUN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP20797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bell Gardens, CA

Sources for this page

Verify at the official NPI Registry.