Active NPI
Yi-Wen Charlotte Huang, D.O.
- Anesthesiology Physician
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 5101016993
- Practice address
- 1800 N California St
Stockton, CA 95204-6019 - Phone
- (209) 467-6142
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 5101016993 | MI | Primary |
Addresses
Primary practice location
1800 N California St
Stockton, CA 95204-6019
Mailing address
3172 Shelter Cove LN
Elk Grove, CA 95758-4654
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5101016993 | Medicaid | MI |
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
- Anesthesiology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101016993 | MI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Delta Radiology, Inc. | Past | Accepting new patients |
Locations
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
521 S Ham Ln
Lodi, CA 95242
Phone (209) 333-0905
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
36 W Yokuts Ave
Ste 3
Stockton, CA 95207
Phone (209) 952-1189
1805 N California St
Ste 405
Stockton, CA 95204
Phone (209) 870-7100
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
2388 N California St
Stockton, CA 95204
Phone (209) 465-2711
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.
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
-
- Anesthesiology Physician
- Lodi, CA
- NPI 1821457300
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Specialist
- Lodi, CA
- NPI 1881728327
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lodi, CA
- NPI 1316938301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324944000000",
"number": "1972622132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3172 SHELTER COVE LN",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957584654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 N CALIFORNIA ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952046019",
"telephone_number": "209-467-6142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "YI-WEN",
"middle_name": "CHARLOTTE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2011-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "5101016993",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5101016993",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.