Active NPI
Xu Shao Huang, O.D.
- Optometrist
- Yucca Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13213 T
- Practice address
- 56970 Yucca TRL Ste 101
Yucca Valley, CA 92284-7911 - Phone
- (760) 228-2020
- Fax
- (760) 369-2020
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 13213 T | CA | Primary |
Addresses
Primary practice location
56970 Yucca TRL Ste 101
Yucca Valley, CA 92284-7911
Mailing address
56970 Yucca TRL
Ste 101
Yucca Valley, CA 92284-7911
Phone (760) 228-2020
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
56970 Yucca TRL
Suite 101
Yucca Valley, CA 92284-7911
Phone (760) 228-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13213 T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarion Optometry Group Prof Corp | Optometrist | Current | Accepting new patients |
| Athena Brasfield OD a Professional Corporation | Optometrist | Past | Accepting new patients |
Locations
42625 Jackson St
Indio, CA 92203
Phone (760) 342-5800
3658 S Nogales St
West Covina, CA 91792
Phone (626) 461-7300
56970 Yucca Trl
Ste 101
Yucca Valley, CA 92284
Phone (760) 228-2020
56970 Yucca Trl
Ste 103
Yucca Valley, CA 92284
Phone (760) 365-9878
Interoperability endpoints
- drhuang@clarionoptometry.direct.eyemdemr.com
Organizations & group practices 3
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.
-
- Optometrist
- Yucca Valley, CA
- NPI 1639572100
-
- Ophthalmology Physician
- Palm Desert, CA
- NPI 1235654344
-
- Optometrist
- Indio, CA
- NPI 1821441221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1851495550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56970 YUCCA TRL",
"address_2": "STE 101",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922847911",
"telephone_number": "760-228-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56970 YUCCA TRL STE 101",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922847911",
"telephone_number": "760-228-2020",
"fax_number": "760-369-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "XU SHAO",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "13213 T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.