NPIMap

Individual provider Active NPI

Mark W Huang, M.D.

  • Surgery Physician
  • Chula Vista, CA
National Provider Identifier
1730185760
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A74711 Issued in CA
Practice address
345 F St Ste 200
Chula Vista, CA 91910-2634
Phone
(619) 421-1111
Fax
(619) 421-1504
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A74711 CA Primary

Addresses

Primary practice location

345 F St Ste 200
Chula Vista, CA 91910-2634

Mailing address

345 F St Ste 200
Chula Vista, CA 91910-2634
Phone (619) 421-1111

Other practice location 1

765 Medical Center Ct
Ste 216
Chula Vista, CA 91911-6600
Phone (619) 421-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040507001344 CA Practitioner - Thoracic SurgeryPractitioner - Vascular SurgeryPractitioner - Cardiac Surgery 1557350253 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Vascular Surgery
Education
Albany Medical College of Union University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CVTS Medical Group IncGroup PAC ID 9537214200, 3 clinicians
On Call Specialists Medical Group of San Diego IncGroup PAC ID 7911395231, 145 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

345 F St
Suite 200
Chula Vista, CA 91910-2634
Phone (619) 421-1111

435 H St
Chula Vista, CA 91910-4307
Phone (619) 359-6600

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 502-5800

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A74711CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Jul 21, 2011 Accepting new patients
Scripps Health Orthopaedic Surgery Current Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince Feb 23, 2004 Accepting new patients
CVTS Medical Group, Inc CurrentSince Aug 10, 2003 Accepting new patients
Scripps Health CurrentSince Feb 23, 2004 Accepting new patients
On Call Specialists Medical Group of San Diego, Inc. Orthopaedic Surgery CurrentSince Jun 1, 2023 Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Scripps Health Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000

345 F St
Ste 200
Chula Vista, CA 91910
Phone (619) 421-1111

765 Medical Center Ct
Ste 216
Chula Vista, CA 91911
Phone (619) 421-1111

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

8851 Center Dr
Ste 500
La Mesa, CA 91942
Phone (619) 461-2660

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mhuang80441@scrippshlth.medalliesdirect.net
  • Direct secure messaging: mhuang33682@sharphealthcare.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1730185760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 F ST STE 200",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102634",
            "telephone_number": "619-421-1111",
            "fax_number": "619-421-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 F ST STE 200",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102634",
            "telephone_number": "619-421-1111",
            "fax_number": "619-421-1504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "765 Medical Center Ct",
            "address_2": "Ste 216",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919116600",
            "country_code": "US",
            "telephone_number": "619-421-1111",
            "fax_number": "619-421-1504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUANG",
        "first_name": "MARK",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A74711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.