Carmen Philomena Hsu, M. D.
Individual provider Active NPI Pediatrics Physician · Freedom, CA
NPI 1043365760 · NPPES record last updated Jan 31, 2017
Key facts
- NPI
- 1043365760
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- G83166 (CA)
- Practice address
- 222 Green Valley Rd
Freedom, CA 95019-3136 - Phone
- (831) 728-2969
- Fax
- (831) 722-9604
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G83166 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Pediatri Medical Group of Watsonville , Inc | Pediatrics | Past | Accepting new patients |
| Clyne & Hsu Medical Group Inc | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GEGGCA/Endpoint/GEGGCA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G83166 | CA | Yes |
Addresses
Primary practice location
222 Green Valley Rd
Freedom, CA 95019-3136
Mailing address
1816 16TH Ave
Santa Cruz, CA 95062-1709
Phone (831) 728-2969
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G83166 | Other | CA | STATE LICENSE |
Other providers in Freedom, CA
- Terry F. Haskin
- Healthstat on-Site Clinic/Reiter Watsonville
- Healthstat Wellness WG Watsonville
- Rachel Hong
- Andrew P Horsley
- Michael A Irete
- J. B. Physical Therapy, Inc.
- Nancy Loraine Jacobsen
- Jeffrey G. Mace, M.D., Professional Corporation
- John V Crowder Jr MD Inc
All providers in Freedom, CA · Pediatrics Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.