Individual provider Active NPI

Charlotte Ling Chien Hu, PA-C

  • Medical Physician Assistant
  • Studio City, CA
National Provider Identifier
1093016735
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA21306 Issued in CA
Practice address
12403 Ventura CT Ste a
Studio City, CA 91604-2470
Phone
(818) 900-6007
NPI assigned
Nov 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA21306 CA Primary

Addresses

Primary practice location

12403 Ventura CT Ste a
Studio City, CA 91604-2470

Mailing address

12403 Ventura CT Ste a
Studio City, CA 91604-2470
Phone (818) 900-6007

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110224000445 CA Practitioner - Physician Assistant 7517148448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Western University of Health Sciences College of Dental Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Van Dyke Yun DermatologyGroup PAC ID 3779824271, 3 clinicians

Practice addresses (Care Compare)

12403 Ventura CT
Suite a
Studio City, CA 91604-2470
Phone (818) 900-6007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA21306CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of Calif Los Angeles PastSince Sep 28, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: charlotte.hu.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1093016735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12403 VENTURA CT STE A",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042470",
            "telephone_number": "818-900-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12403 VENTURA CT STE A",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042470",
            "telephone_number": "818-900-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HU",
        "first_name": "CHARLOTTE",
        "middle_name": "LING CHIEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA21306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

Verify at the official NPI Registry.