Active NPI
Kelly Thuy Hongkham, PA-C
- Physician Assistant
- Sacramento, CA
National Provider Identifier
1104755057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 68564
- Practice address
- 4400 Duckhorn Dr Ste 100
Sacramento, CA 95834-2680 - Phone
- (916) 575-8000
- NPI assigned
- May 18, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 68564 | CA | Primary |
Addresses
Primary practice location
4400 Duckhorn Dr Ste 100
Sacramento, CA 95834-2680
Mailing address
4400 Duckhorn Dr Ste 100
Sacramento, CA 95834-2680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1104755057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 DUCKHORN DR STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958342680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 DUCKHORN DR STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958342680",
"telephone_number": "916-575-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONGKHAM",
"first_name": "KELLY",
"middle_name": "THUY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-18",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "68564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.