Individual provider Active NPI

Hsu-Ti Huang, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • West Covina, CA
National Provider Identifier
1710051404
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4535 Issued in CA
Practice address
933 S Sunset Ave Ste 202
West Covina, CA 91790-3410
Phone
(626) 813-6630
Fax
(626) 813-3539
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4535 CA Primary

Addresses

Primary practice location

933 S Sunset Ave Ste 202
West Covina, CA 91790-3410

Mailing address

933 S Sunset Ave Ste 202
West Covina, CA 91790-3410
Phone (626) 813-6630

Other identifiers 1

IdentifierTypeStateIssuer
E4535OtherCASTATE 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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050804000567 CA Practitioner - Podiatry 1355379991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1110 E Main St
Suite 101
Alhambra, CA 91801-4166
Phone (626) 284-5252

933 S Sunset Ave
Suite 202
West Covina, CA 91790-3410
Phone (626) 813-6630

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue680
Removal or shaving of skin growth313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4535CAMDFoot & Ankle Surgery Podiatrist
4535CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Interventional Partners Inc CurrentSince Jun 25, 2018 Accepting new patients
S Patrick Lai Podiatry Corp Past Accepting new patients

Locations

18375 Ventura Blvd
Tarzana, CA 91356
Phone (818) 422-5322

935 S Sunset Ave
West Covina, CA 91790
Phone (626) 888-7414

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hsuti.huang.p1@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: hsutihuang.76.797@securemailmdscloud.mdsynergy.com

Organizations & group practices 3

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1710051404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 S SUNSET AVE STE 202",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903410",
            "telephone_number": "626-813-6630",
            "fax_number": "626-813-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 S SUNSET AVE STE 202",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903410",
            "telephone_number": "626-813-6630",
            "fax_number": "626-813-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "HSU-TI",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "E4535",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.