Active NPI
Jason Huang, OD
- Optometrist
- Santa Clara, CA
National Provider Identifier
1912675109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34913
- Practice address
- 2794 El Camino Real
Santa Clara, CA 95051-3061 - Phone
- (408) 248-2020
- NPI assigned
- Sep 1, 2021
- 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 | 34913 | CA | Primary |
Addresses
Primary practice location
2794 El Camino Real
Santa Clara, CA 95051-3061
Mailing address
20621 McClellan Rd
Cupertino, CA 95014-2956
Phone (408) 242-0916
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 |
|---|---|---|---|
| 34913 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1912675109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20621 MCCLELLAN RD",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950142956",
"telephone_number": "408-242-0916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2794 EL CAMINO REAL",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950513061",
"telephone_number": "408-248-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "JASON",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-01",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.