Individual provider Active NPI

Trace Huang, MD

  • Psychiatry Physician
  • Loma Linda, CA
National Provider Identifier
1962082982
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A184051 Issued in CA
Practice address
25745 Barton Rd # 701
Loma Linda, CA 92354-3812
Phone
(949) 689-8745
NPI assigned
Apr 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A184051 CA Primary

Addresses

Primary practice location

25745 Barton Rd # 701
Loma Linda, CA 92354-3812

Mailing address

25745 Barton Rd # 701
Loma Linda, CA 92354-3812
Phone (949) 689-8745

Other practice location 1

5900 Brockton Ave
Riverside, CA 92506-1862
Phone (951) 877-5877

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250227000571 CA Practitioner - Psychiatry 5294255741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Loma Linda University School of Medicine, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Evagelos Coskinas MD a Medical CorporationGroup PAC ID 6103357439, 4 clinicians

Practice addresses (Care Compare)

5900 Brockton Ave
Riverside, CA 92506-1862
Phone (800) 992-0901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A184051CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Psychiatric Services, a Medical Group Psychiatry CurrentSince Dec 14, 2024 Accepting new patients
Evagelos Coskinas MD a Medical Corporation Psychiatry CurrentSince Jul 1, 2025 Accepting new patients

Locations

301 Victoria St
Costa Mesa, CA 92627
Phone (949) 207-3457

5900 Brockton Ave
Riverside, CA 92506
Phone (800) 992-0901

2211 Post St
Ste 200
San Francisco, CA 94115
Phone (415) 928-1221

31103 Rancho Viejo Rd
Ste D3319
San Juan Capistrano, CA 92675
Phone (949) 500-5108

3100 Oak Rd
Ste 270
Walnut Creek, CA 94597
Phone (925) 944-9711

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": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1962082982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25745 BARTON RD # 701",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543812",
            "telephone_number": "949-689-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25745 BARTON RD # 701",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543812",
            "telephone_number": "949-689-8745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Brockton Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925061862",
            "country_code": "US",
            "telephone_number": "951-877-5877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUANG",
        "first_name": "TRACE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-13",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A184051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.