Individual provider Active NPI

Hyangja Huebner

  • Psychiatric/Mental Health Nurse Practitioner
  • Simi Valley, CA
National Provider Identifier
1124879325
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95029413 Issued in CA
Practice address
450 Country Club Dr Apt D
Simi Valley, CA 93065-6647
Phone
(661) 300-0377
NPI assigned
Mar 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95029413 CA Primary

Addresses

Primary practice location

450 Country Club Dr Apt D
Simi Valley, CA 93065-6647

Mailing address

450 Country Club Dr Apt D
Simi Valley, CA 93065-6647
Phone (661) 300-0377

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
I20250710000418 CA Practitioner - Nurse Practitioner 5294249397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Together Mental Health a Nursing CorpGroup PAC ID 2264767672, 3 clinicians

Practice addresses (Care Compare)

3030 W Olympic Blvd
Suite 217
Los Angeles, CA 90006-6507
Phone (213) 550-2159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Together Mental Health, a Nursing Corp. Psychiatric/Mental Health CurrentSince Apr 21, 2025 Accepting new patients

Locations

3030 W Olympic Blvd
Ste 217
Los Angeles, CA 90006
Phone (213) 480-1475

Organizations & group practices 1

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": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1124879325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 COUNTRY CLUB DR APT D",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656647",
            "telephone_number": "661-300-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 COUNTRY CLUB DR APT D",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656647",
            "telephone_number": "661-300-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEBNER",
        "first_name": "HYANGJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95029413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.