Individual provider Active NPI

Annette Tien Hwang, MD

  • Pediatrics Physician
  • Palo Alto, CA
National Provider Identifier
1881610707
Registry record updated Feb 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A53259 Issued in CA
Practice address
1101 Welch Rd
Suite A1
Palo Alto, CA 94304-1904
Phone
(650) 329-0300
Fax
(650) 329-8421
NPI assigned
Jul 14, 2006
Last updated
Feb 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A53259 CA Primary

Addresses

Primary practice location

1101 Welch Rd
Suite A1
Palo Alto, CA 94304-1904

Mailing address

1101 Welch Rd
Suite A1
Palo Alto, CA 94304-1904
Phone (650) 329-0300

Other identifiers 1

IdentifierTypeStateIssuer
1760531198OtherCAEIN

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A53259CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harvey, Ball & Sharron MDS, Inc Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ahwang41054@direct.stanfordhealthcare.org

Organizations & group practices 1

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330128000000",
    "number": "1881610707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 WELCH RD",
            "address_2": "SUITE A1",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041904",
            "telephone_number": "650-329-0300",
            "fax_number": "650-329-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WELCH RD",
            "address_2": "SUITE A1",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041904",
            "telephone_number": "650-329-0300",
            "fax_number": "650-329-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "ANNETTE",
        "middle_name": "TIEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A53259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EIN",
            "identifier": "1760531198",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.