Individual provider Active NPI

Kuang J Huang, MD

  • Psychiatry Physician
  • Monterey Park, CA
National Provider Identifier
1962566653
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A41756 Issued in CA
Practice address
850 S Atlantic Blvd
#304
Monterey Park, CA 91754-4730
Phone
(626) 284-6408
Fax
(626) 284-1201
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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 A41756 CA Primary

Addresses

Primary practice location

850 S Atlantic Blvd
#304
Monterey Park, CA 91754-4730

Mailing address

850 S Atlantic Blvd
#304
Monterey Park, CA 91754-4730
Phone (626) 284-6408

Other identifiers 1

IdentifierTypeStateIssuer
00A417560MedicaidCA

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
I20101021000388 CA Practitioner - PsychiatryPractitioner - General Practice 1658564737 Practice locations: Monterey Park, CA; San Gabriel, CA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41756CAMDDentist
A41756CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Formosa Medical Group Psychiatry Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1962566653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S ATLANTIC BLVD",
            "address_2": "#304",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544730",
            "telephone_number": "626-284-6408",
            "fax_number": "626-284-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S ATLANTIC BLVD",
            "address_2": "#304",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544730",
            "telephone_number": "626-284-6408",
            "fax_number": "626-284-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "KUANG",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A41756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A417560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.