Organization Active NPI

Ray Hsiao MD Inc

  • Internal Medicine Physician
  • Hacienda Heights, CA
National Provider Identifier
1710062401
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G70571 Issued in CA
Legal business name
RAY HSIAO MD INC
Practice address
1850 S Azusa Ave
Suite 308
Hacienda Heights, CA 91745-6813
Phone
(626) 854-7866
Fax
(626) 820-0666
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Authorized official

Name
Ray Hsaio, MD
Title
President
Phone
(626) 854-7866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G70571 CA Primary

Addresses

Primary practice location

1850 S Azusa Ave
Suite 308
Hacienda Heights, CA 91745-6813

Mailing address

1850 S Azusa Ave
Suite 308
Hacienda Heights, CA 91745-6813
Phone (626) 854-7866

Other identifiers 1

IdentifierTypeStateIssuer
00G705711MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090925000458 CA Part B Supplier - Clinic/Group Practice 6608922042 Receives reassigned benefits from 1 practitioner
Practice locations: Hacienda Heights, CA

National Provider Directory

National Provider Directory

Locations

1850 S Azusa Ave
Ste 308
Hacienda Heights, CA 91745
Phone (626) 854-7866

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1710062401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE",
            "address_2": "SUITE 308",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456813",
            "telephone_number": "626-854-7866",
            "fax_number": "626-820-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE",
            "address_2": "SUITE 308",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456813",
            "telephone_number": "626-854-7866",
            "fax_number": "626-820-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY HSIAO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "HSAIO",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-854-7866",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G70571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G705711",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.