Kesha Katina Hudson, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16506 Issued in CA

Practice address

11919 Hesperia Rd
Hesperia, CA 92345-2158

Phone

(760) 948-1454

Fax

(706) 322-8332

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Graybill Medical Group IncGroup PAC ID 9335050517, 103 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kesha.hudson.1@29786.direct.athenahealth.com
• Direct secure messaging: kesha.hudson.p4@direct.fpa.nextgenshare.com

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.

• Graybill Medical Group Inc

  • Family Medicine Physician
  • Escondido, CA
  • NPI 1891729745
  Medicare reassignment Care Compare group
• Apex Emergency Medical Group, Inc.

  • Emergency Medicine Physician
  • Hemet, CA
  • NPI 1265711089
  Medicare reassignment
• Cep America - California

  • Emergency Medicine Physician
  • Colton, CA
  • NPI 1306899166
  NPD (past)
• Premier Emergency Physicians of California Medical Group PC

  • Emergency Medicine Physician
  • Barstow, CA
  • NPI 1225289135

  Physician Assistant

  NPD (past)
• Rainbow Basin Emergency Physicians, a Medical Corporation

  • Emergency Medicine Physician
  • Barstow, CA
  • NPI 1811148729

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1093721540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11919 HESPERIA RD",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923452158",
            "telephone_number": "760-948-1454",
            "fax_number": "706-322-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11919 HESPERIA RD",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923452158",
            "telephone_number": "760-948-1454",
            "fax_number": "706-322-8332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 East Second Avenue",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920254249",
            "country_code": "US",
            "telephone_number": "760-291-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "KESHA",
        "middle_name": "KATINA",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "005383",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Hood, LCSW
• Tiffany T Hooper, RBT
• Courtney L Hottinger, LMFT
• Daniel Lee Howell, BCBA, JD
• Marilyn Huato
• Stephanie Huerta
• Ella Elaine Humphrey
• Herleena Hunt
• Diane Huynh, PHARMD
• Ly Huynh, PHARMD

• Physician Assistant in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.

Verify at the official NPI Registry.