Crystal Huong

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95017700 Issued in CA

Practice address

2705 S Diamond Bar Blvd Ste 100
Diamond Bar, CA 91765-3557

Phone

(626) 965-1988

NPI assigned

Jul 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crystal.huong.1@29786.direct.athenahealth.com

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.

• Goldome Healthcare Inc.

  • Primary Care Clinic/Center
  • Pomona, CA
  • NPI 1295154672
  Medicare reassignment NPD
• A-One Medical Group, Inc. a Professional Corporation

  • Family Medicine Physician
  • Diamond Bar, CA
  • NPI 1306006655
  NPD (past)

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

{
    "created_epoch": "1625356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1992376636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 ALEGRO SQ APT J",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 S DIAMOND BAR BLVD STE 100",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653557",
            "telephone_number": "626-965-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUONG",
        "first_name": "CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-04",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polly Huang
• Sen-Jung Huang
• Yung Ju Huang, LAC
• Yung Lin Huang, M.D.
• Sarah Catherine Huizenga, MSW, LCSW
• Hokkei Hwang, PHYSICAL THERAPIST
• Hyoungwook Kim DDS Inc
• Audrey Lynn Ibarra
• Jesse Jr Ibarra Jr.
• Adrian Jonathan Ichwan, PHARMD

• Family Nurse Practitioner in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.