Active NPI
Julia Wan-Chun Huang, O.D.
- Optometrist
- Monterey Park, CA
National Provider Identifier
1861618258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12064T
- Practice address
- 790 S Atlantic Blvd Ste 105
Monterey Park, CA 91754-3848 - Phone
- (626) 281-1062
- Fax
- (626) 289-8306
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 12064T | CA | Primary |
Addresses
Primary practice location
790 S Atlantic Blvd Ste 105
Monterey Park, CA 91754-3848
Mailing address
790 S Atlantic Blvd
Ste 105
Monterey Park, CA 91754-3848
Phone (626) 281-1062
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861618258 | Other | CA | NPI |
| 1497971899 | Other | CA | GROUP NPI |
| 1861618258 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12064T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1861618258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 S ATLANTIC BLVD",
"address_2": "STE 105",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917543848",
"telephone_number": "626-281-1062",
"fax_number": "626-289-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 S ATLANTIC BLVD STE 105",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917543848",
"telephone_number": "626-281-1062",
"fax_number": "626-289-8306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "JULIA",
"middle_name": "WAN-CHUN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2021-04-06",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12064T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1861618258",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1497971899",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861618258",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.