JIMMY C. HUANG, D.O. A PROFESSIONAL CORP.
NPI 1023205010
Family Medicine in Santa Monica, CA
About Jimmy C. Huang, D.o. A Professional Corp. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIMMY C. HUANG, D.O. A PROFESSIONAL CORP. (NPI 1023205010) is a healthcare organization registered as a family medicine in Santa Monica, California and active in the NPI registry since October 2007. The organization lists Jimmy C. Huang, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jimmy C. Huang, D.o. A Professional Corp. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Jimmy C. Huang, D.O. A Professional Corp., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jimmy C. Huang, D.O. A Professional Corp.'s NPI number?
The NPI number for Jimmy C. Huang, D.O. A Professional Corp. is 1023205010. It was assigned to this organization in the NPPES registry on October 3, 2007.
Where is Jimmy C. Huang, D.O. A Professional Corp. located?
Jimmy C. Huang, D.O. A Professional Corp. is located at 2210 Santa Monica Blvd. Suite C, Santa Monica, CA 90404. The listed phone number is (310) 828-1708.
What is Jimmy C. Huang, D.O. A Professional Corp.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jimmy C. Huang, D.O. A Professional Corp. enrolled in Medicare?
Yes. Jimmy C. Huang, D.O. A Professional Corp. is registered in the Medicare PECOS enrollment system.
When is Jimmy C. Huang, D.O. A Professional Corp.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jimmy C. Huang, D.O. A Professional Corp.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Jimmy C. Huang, D.O. A Professional Corp., in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jimmy C. Huang, D.O. A Professional Corp. was last updated on September 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jimmy C. Huang, D.o. A Professional Corp. · NPI 1023205010
Family Medicine organization in Santa Monica, California. Organization record, active in the CMS NPPES registry since October 3, 2007.
## Identity
- **NPI:** 1023205010 (Entity type: Organization)
- **Enumerated:** October 3, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jimmy Huang, CEO
## Practice location
- **Address:** 2210 SANTA MONICA BLVD., SUITE C, Santa Monica, CA 90404
- **Phone:** (310) 828-1708 · **Fax:** (310) 828-1705
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 28, 2017
- **Other identifiers:** Medicare UPIN G85091 (CA); Medicare PIN W18969 (CA); Medicaid OOAX67131 (CA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1023205010) · Data from the CMS NPPES public registry.