Individual provider Active NPI

Elaine Pei Lan Huang, FNP-BC

  • Family Nurse Practitioner
  • Carlsbad, CA
National Provider Identifier
1710173539
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP 17140 Issued in CA
Practice address
7740 Rancho Sante Fe Road
Carlsbad, CA 92009-8685
Phone
(866) 389-2727
Fax
(401) 652-9787
NPI assigned
Sep 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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 NP 17140 CA Primary

Addresses

Primary practice location

7740 Rancho Sante Fe Road
Carlsbad, CA 92009-8685

Mailing address

1037 Sunset Crossing PT
San Diego, CA 92154-5832
Phone (562) 715-8186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17140CAMDProfessional Counselor
NP 17140CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
GN Medical Associates, Inc. Family CurrentSince Dec 9, 2012 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

3401 W Sunflower Ave
#250
Santa Ana, CA 92704
Phone (415) 848-8258

Organizations & group practices 1

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": "1189900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1710173539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 SUNSET CROSSING PT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921545832",
            "telephone_number": "562-715-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 RANCHO SANTE FE ROAD",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098685",
            "telephone_number": "866-389-2727",
            "fax_number": "401-652-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "ELAINE",
        "middle_name": "PEI LAN",
        "name_prefix": "Miss",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-16",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP 17140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.