Active NPI
Hoanganh Huynh, DMD
- Dentist
- San Diego, CA
National Provider Identifier
1902631609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 110667
- Practice address
- 9225 Mira Mesa Blvd Ste 103
San Diego, CA 92126-4810 - Phone
- (858) 566-7645
- NPI assigned
- Sep 4, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 110667 | CA | Primary |
Addresses
Primary practice location
9225 Mira Mesa Blvd Ste 103
San Diego, CA 92126-4810
Mailing address
10985 Pacific Point PL Unit 1201
San Diego, CA 92129-2088
Phone (818) 276-5927
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250923003169 | CA | Order and Referring Only - Dentist | 2365947223 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110667 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Trang Xa, D.D.S, Inc. | Current | Accepting new patients |
Locations
9225 Mira Mesa Blvd
Ste 103
San Diego, CA 92126
Phone (858) 566-7645
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 and National Provider Directory roles.
-
- General Practice Dentistry
- San Diego, CA
- NPI 1740441070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1902631609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10985 PACIFIC POINT PL UNIT 1201",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921292088",
"telephone_number": "818-276-5927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9225 MIRA MESA BLVD STE 103",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264810",
"telephone_number": "858-566-7645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "HOANGANH",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-04",
"last_updated": "2024-09-04",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "110667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.