Active NPI
Ashley Thuy Hanson, PA-C
- Physician Assistant
- Long Beach, CA
National Provider Identifier
1053985176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2880 Atlantic Ave Ste 110
Long Beach, CA 90806-1739 - Phone
- (562) 424-4404
- NPI assigned
- May 13, 2021
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2880 Atlantic Ave Ste 110
Long Beach, CA 90806-1739
Mailing address
2880 Atlantic Ave Ste 110
Long Beach, CA 90806-1739
Phone (714) 725-2363
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260508002579 | CA | Order and Referring Only - Physician Assistant | 5496236432 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665878400000",
"number": "1053985176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 ATLANTIC AVE STE 110",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061739",
"telephone_number": "714-725-2363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 ATLANTIC AVE STE 110",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061739",
"telephone_number": "562-424-4404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "ASHLEY",
"middle_name": "THUY",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-13",
"last_updated": "2022-10-16",
"certification_date": "2022-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.