Individual provider Active NPI

Xiaorong Huang

  • Family Nurse Practitioner
  • Alhambra, CA
National Provider Identifier
1700450202
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95017344 Issued in CA
Practice address
1234 S Garfield Ave Ste 103
Alhambra, CA 91801-5068
Phone
(626) 576-7871
NPI assigned
May 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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 95017344 CA Primary

Addresses

Primary practice location

1234 S Garfield Ave Ste 103
Alhambra, CA 91801-5068

Mailing address

25 Palatine Apt 359
Irvine, CA 92612-7658
Phone (626) 290-7890

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
I20211201002861 CA Practitioner - Nurse Practitioner 1850789926 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Healthcare Inc CurrentSince Apr 1, 2022 Accepting new patients
Daniel Funsch Jr, M.D., Professional Corporation CurrentSince Oct 28, 2024 Accepting new patients

Locations

2710 Gateway Oaks Dr
Ste 150N
Sacramento, CA 95833
Phone (817) 966-0621

1442 Irvine Blvd
Ste 101
Tustin, CA 92780
Phone (714) 544-3900

885 3rd Ave
Fl 28
New York, NY 10022
Phone (929) 650-3990

Interoperability endpoints

  • Direct secure messaging: xiaorong.huang@398008301912068.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1700450202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PALATINE APT 359",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926127658",
            "telephone_number": "626-290-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 S GARFIELD AVE STE 103",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015068",
            "telephone_number": "626-576-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "XIAORONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.