Active NPI
Changrui Xiao, M.D.
- Clinical Genetics (M.D.) Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- License
- A178815
- Practice address
- 1201 W la Veta Ave
Orange, CA 92868-4203 - Phone
- (877) 734-6618
- NPI assigned
- Jun 10, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125064706 | IL | |
| Neurology Physician | 2084N0400X | MD046294 | DC | |
| Clinical Genetics (M.D.) Physician | 207SG0201X | A178815 | CA | Primary |
Addresses
Primary practice location
1201 W la Veta Ave
Orange, CA 92868-4203
Mailing address
1201 W la Veta Ave
Orange, CA 92868-4203
Other practice location 1
10 Center Drive Building 10 Crc Room 3-2551 Msc 1205
Bethesda, MD 20892-1205
Phone (301) 496-7125
Other practice location 2
10 Center Drive Building 10 Crc Room 3-2551 Msc 1205
Bethesda, MD 20892
Phone (301) 496-7125
Other practice location 3
200 S. Manchester Ave
St. 206
Orange, CA 92868-9286
Phone (714) 456-7720
Other practice location 4
5841 S Maryland Ave
MC 7082
Chicago, IL 60637-1447
Phone (773) 702-6840
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Duke University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004
Hospital & facility affiliations
- Uci Health-Orange
- Children'S Hospital of Orange County
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A178815 | CA | MD | Clinical Genetics (M.D.) Physician |
| MD046294 | DC | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Claifornia Univ Neursciences | Neurology | Current | Accepting new patients |
| Pediatric Subspecialty Faculty, Inc. | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Locations
1640 Newport Blvd
Ste 230
Costa Mesa, CA 92627
Phone (949) 736-5995
19200 Jamboree Rd
Ste 4200
Irvine, CA 92612
23961 Calle de la Magdalena
Ste 100
Laguna Hills, CA 92653
Phone (949) 380-8700
401 Old Newport Blvd
Ste 201
Newport Beach, CA 92663
Phone (949) 478-7373
1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481
101 The City Dr S
Bldg 30
Orange, CA 92868
Phone (714) 456-6966
200 S Manchester Ave
Ste 206
Orange, CA 92868
Phone (714) 456-3420
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
200 S Manchester Ave
Ste 110
Orange, CA 92868
Phone (714) 456-2332
200 S Manchester Ave
Ste 300
Orange, CA 92868
Phone (714) 424-9001
1451 Irvine Blvd
Tustin, CA 92780
Phone (714) 838-8408
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Neurology Physician
- Orange, CA
- NPI 1205884210
-
- Pediatrics Physician
- Orange, CA
- NPI 1790850279
-
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Orange, CA
- NPI 1811080526
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1962815795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 W LA VETA AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 W LA VETA AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684203",
"telephone_number": "877-734-6618"
}
],
"practiceLocations": [
{
"address_1": "10 Center Drive Building 10 Crc Room 3-2551 Msc 1205",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208921205",
"country_code": "US",
"telephone_number": "301-496-7125",
"fax_number": "301-496-7157",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Center Drive Building 10 Crc Room 3-2551 Msc 1205",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "20892",
"country_code": "US",
"telephone_number": "301-496-7125",
"fax_number": "301-496-7157",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 S. Manchester Ave",
"address_2": "St. 206",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928689286",
"country_code": "US",
"telephone_number": "714-456-7720",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5841 S Maryland Ave",
"address_2": "MC 7082",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606371447",
"country_code": "US",
"telephone_number": "773-702-6840",
"fax_number": "773-702-2230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "XIAO",
"first_name": "CHANGRUI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-10",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125064706",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "DC",
"license": "MD046294",
"primary": false
},
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "CA",
"license": "A178815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.