Individual provider Active NPI

Kun Jiang Huang, M.D.

  • Contractor
  • San Francisco, CA
National Provider Identifier
1821270240
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
A98491 Issued in CA
Practice address
950 Stockton St
Suite 207
San Francisco, CA 94108-1633
Phone
(415) 399-9646
NPI assigned
Nov 27, 2007
Last updated
Nov 28, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X A98491 CA Primary

Addresses

Primary practice location

950 Stockton St
Suite 207
San Francisco, CA 94108-1633

Mailing address

950 Stockton St
Suite 207
San Francisco, CA 94108-1633
Phone (415) 399-9646

Other names 1

  • Dr. Kris K.J. Huang Other name

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
I20080616000810 CA Practitioner - Pediatric Medicine 4082785217 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Centers, Inc. CurrentSince Nov 10, 2012 Accepting new patients
Community Medical Centers, Inc. Current Accepting new patients
Community Medical Centers Inc CurrentSince Nov 10, 2012 Accepting new patients
Scenic Faculty Medical Group, Inc. PastSince Sep 1, 2024 Accepting new patients

Locations

2401 W Turner Rd
Ste 450
Lodi, CA 95242
Phone (209) 370-1700

200 Cottage Ave
Ste 103
Manteca, CA 95336
Phone (209) 624-5800

2640 E Lafayette St
Stockton, CA 95205
Phone (209) 751-5221

7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816

730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500

Interoperability endpoints

  • Direct secure messaging: khuang768271@direct.ochin.org
  • Direct secure messaging: kris.huang.p1@direct.cmcentersinc.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1821270240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 STOCKTON ST",
            "address_2": "SUITE 207",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081633",
            "telephone_number": "415-399-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 STOCKTON ST",
            "address_2": "SUITE 207",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081633",
            "telephone_number": "415-399-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "KUN",
        "middle_name": "JIANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "A98491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRIS",
            "last_name": "HUANG",
            "middle_name": "K.J.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.