Individual provider Active NPI

Changrui Xiao, M.D.

  • Clinical Genetics (M.D.) Physician
  • Orange, CA
National Provider Identifier
1962815795
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
A178815 Issued in CA
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

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220616001411 CA Practitioner - NeurologyPractitioner - Medical Genetics and Genomics 5991929978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Medical Genetics and Genomics
Education
Duke University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of Claifornia Univ NeursciencesGroup PAC ID 2769476357, 72 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Children'S Hospital of Orange County Hospital, Orange, CA, CCN 053304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A178815CAMDClinical Genetics (M.D.) Physician
MD046294DCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Claifornia Univ Neursciences Neurology CurrentSince Jul 1, 2022 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.