Individual provider Active NPI

Wayne Huo, L.AC., DC

  • Chiropractor
  • Hacienda Heights, CA
National Provider Identifier
1851701031
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36008 Issued in CA
Practice address
2020 S Hacienda Blvd Ste D
Hacienda Heights, CA 91745-4265
Phone
(626) 855-1158
Fax
(626) 605-5015
NPI assigned
Apr 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 16081 CA
Chiropractor 111N00000X DC36008 CA Primary

Addresses

Primary practice location

2020 S Hacienda Blvd Ste D
Hacienda Heights, CA 91745-4265

Mailing address

2020 S Hacienda Blvd Ste D
Hacienda Heights, CA 91745-4265
Phone (626) 855-1158

Other practice location 1

10405 Lower Azusa Rd
Temple City, CA 91780-3470
Phone (626) 444-8588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250211003411 CA Practitioner - Chiropractic 7517497159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1620 Puente Ave
Suite C
Baldwin Park, CA 91706-5994
Phone (626) 552-5880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC36008CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Yihsiang Lin Chiropractic Professional Corporation Chiropractor CurrentSince Aug 28, 2021 Accepting new patients
Wayne Huo Chiropractic Corp. Chiropractor CurrentSince Oct 29, 2024 Accepting new patients

Locations

1620 Puente Ave
Ste C
Baldwin Park, CA 91706
Phone (626) 552-5880

2020 S Hacienda Blvd
Ste D
Hacienda Hts, CA 91745
Phone (626) 855-1158

10405 Lower Azusa Rd
Temple City, CA 91780
Phone (626) 444-8588

Organizations & group practices 2

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": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1851701031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S HACIENDA BLVD STE D",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917454265",
            "telephone_number": "626-855-1158",
            "fax_number": "626-605-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S HACIENDA BLVD STE D",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917454265",
            "telephone_number": "626-855-1158",
            "fax_number": "626-605-5015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10405 Lower Azusa Rd",
            "address_purpose": "LOCATION",
            "city": "Temple City",
            "state": "CA",
            "postal_code": "917803470",
            "country_code": "US",
            "telephone_number": "626-444-8588",
            "fax_number": "626-605-5015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUO",
        "first_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "L.AC., DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-28",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16081",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.