Individual provider Active NPI

Jimmy C. Huang, D.O.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1780649442
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6713 Issued in CA
Practice address
3756 Santa Rosalia Dr
Suite 422
Los Angeles, CA 90008-3606
Phone
(323) 292-0211
Fax
(323) 292-0211
NPI assigned
Apr 18, 2006
Last updated
Sep 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A6713 CA Primary

Addresses

Primary practice location

3756 Santa Rosalia Dr
Suite 422
Los Angeles, CA 90008-3606

Mailing address

1158 26TH Street
Suite 570
Santa Monica, CA 90403
Phone (310) 453-3668

Other identifiers 1

IdentifierTypeStateIssuer
OOAX67131MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050601000773 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 5991747859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jimmy C. Huang, DO, a Professional CorpGroup PAC ID 9830134170, 4 clinicians

Practice addresses (Care Compare)

3756 Santa Rosalia Dr
Suite 422
Los Angeles, CA 90008-3614
Phone (323) 292-0211

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jimmy C. Huang, D.O. a Professional Corp. Family Medicine CurrentSince Jun 9, 2005 Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
THC - Orange County LLC Past Accepting new patients
Bel Air Congregate Living Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Trellis Physical Therapy a Professional Rehab Group Inc. Past Accepting new patients
Angel's Touch Home Care, Inc Past Accepting new patients

Locations (25 of 54)

10955 Washington Blvd
Culver City, CA 90232
Phone (310) 505-4470

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

5240 Sepulveda Blvd
Culver City, CA 90230
Phone (310) 391-7266

1020 S Fairfax Ave
Los Angeles, CA 90019
Phone (323) 938-2451

1145 W 6th St
Los Angeles, CA 90017
Phone (213) 482-5801

11620 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 390-9045

1240 S Hoover St
Los Angeles, CA 90006
Phone (213) 382-8461

1515 N Alexandria Ave
Los Angeles, CA 90027
Phone (214) 986-3010

1516 Sawtelle Blvd
Los Angeles, CA 90025
Phone (310) 447-5505

2000 W Washington Blvd
Los Angeles, CA 90018
Phone (323) 212-5775

2190 W Adams Blvd
Los Angeles, CA 90018
Phone (323) 737-4398

2228 Westwood Blvd
Los Angeles, CA 90064
Phone (310) 474-9922

2300 W Washington Blvd
Los Angeles, CA 90018
Phone (323) 731-0861

2415 S Western Ave
Los Angeles, CA 90018
Phone (323) 734-1101

3032 Rowena Ave
Los Angeles, CA 90039
Phone (323) 665-1185

3233 W Pico Blvd
Los Angeles, CA 90019
Phone (323) 734-9122

3333 Manning Ave
Los Angeles, CA 90064
Phone (310) 564-2005

3515 Overland Ave
Los Angeles, CA 90034
Phone (310) 839-5201

3737 Don Felipe Dr
Los Angeles, CA 90008
Phone (323) 295-7737

3756 Santa Rosalia Dr
Ste 422
Los Angeles, CA 90008
Phone (310) 688-6738

4853 W Washington Blvd
Los Angeles, CA 90016
Phone (323) 935-1157

505 N La Brea Ave
Los Angeles, CA 90036
Phone (323) 393-7486

515 N La Brea Ave
Los Angeles, CA 90036
Phone (323) 935-2131

5310 Fountain Ave
Los Angeles, CA 90029
Phone (323) 461-9961

533 S Fairfax Ave
Los Angeles, CA 90036
Phone (323) 930-4815

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Long Beach Post AcuteLong Beach, CA, CCN 555010 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Feb 20, 2019
Feb 20, 2019
Coral Cove Post AcuteLong Beach, CA, CCN 055077 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1780649442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 26TH STREET",
            "address_2": "SUITE 570",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-453-3668",
            "fax_number": "310-453-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3756 SANTA ROSALIA DR",
            "address_2": "SUITE 422",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083606",
            "telephone_number": "323-292-0211",
            "fax_number": "323-292-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "JIMMY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOAX67131",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.