Active NPI
Madeline Halus
- Physician Assistant
- Signal Hill, CA
National Provider Identifier
1063147957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 63308
- Practice address
- 2704 E Willow St
Signal Hill, CA 90755-2217 - Phone
- (562) 490-9900
- NPI assigned
- Jul 23, 2022
- 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 | 63308 | CA | Primary |
Addresses
Primary practice location
2704 E Willow St
Signal Hill, CA 90755-2217
Mailing address
PO Box 2246
Seal Beach, CA 90740-1246
Phone (562) 490-9900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 E Superior St
Suite 306
Chicago, IL 60611-2595
Phone (312) 754-9404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63308 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trevecca Nazarene University | Past | Accepting new patients |
Interoperability endpoints
- madeline.hall.1@11920.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1063803856
-
- Local Education Agency (LEA)
- Nashville, TN
- NPI 1033407952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1063147957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2246",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907401246",
"telephone_number": "562-490-9900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2704 E WILLOW ST",
"city": "SIGNAL HILL",
"state": "CA",
"postal_code": "907552217",
"telephone_number": "562-490-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALUS",
"first_name": "MADELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-23",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "63308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Signal Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.