Individual provider Active NPI

Kathy Hu, P.A.

  • Medical Physician Assistant
  • Anaheim, CA
National Provider Identifier
1184900276
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA21864 Issued in CA
Practice address
1491 E la Palma Ave
Anaheim, CA 92805-1564
Phone
(714) 535-3330
NPI assigned
Nov 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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 PA21864 CA Primary

Addresses

Primary practice location

1491 E la Palma Ave
Anaheim, CA 92805-1564

Mailing address

20925 Glenbrook Dr
Walnut, CA 91789-3846

Other names 1

  • Kai Jie Hu Former name

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
I20171114000701 CA Practitioner - Physician Assistant 3375809072 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA21864CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Strongkids Medical Group Inc CurrentSince Mar 15, 2016 Accepting new patients
CPR Training Associates, Inc. Medical Past Accepting new patients
Ac and CS Past Accepting new patients

Locations

1491 E La Palma Ave
Ste B
Anaheim, CA 92805
Phone (714) 535-3330

2222 S Main St
Santa Ana, CA 92707
Phone (714) 436-9999

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1184900276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20925 GLENBROOK DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 E LA PALMA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928051564",
            "telephone_number": "714-535-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HU",
        "first_name": "KATHY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-02",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA21864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAI JIE",
            "last_name": "HU",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.