Mary Casner Hudson, MSPA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

7065 N Chestnut Ave Ste 103
Fresno, CA 93720-0355

Phone

(559) 326-8867

Fax

(559) 432-8812

NPI assigned

Nov 15, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• J Robert West, M.D., Inc

  dba Southern California Dermatology

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1932154788
  NPD (past)

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1326478041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7065 N CHESTNUT AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200355",
            "telephone_number": "559-326-8867",
            "fax_number": "559-432-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7065 N CHESTNUT AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200355",
            "telephone_number": "559-326-8867",
            "fax_number": "559-432-8812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 N Herwaldt Dr",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937012186",
            "country_code": "US",
            "telephone_number": "559-459-7300",
            "fax_number": "559-459-3750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "MARY",
        "middle_name": "CASNER",
        "credential": "MSPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Janaye Michele Hudson-Blue, LCSW 134080
• Angela Christine Hudson, CADC-CAS
• Garrett Hudson
• Haley Hudson
• Jessica Hudson, B..S.
• Sara Megan Hudson
• Christopher David Huebner, MD
• Teresita Huerta Ellazar
• Maria Guadalupe Huerta Flores
• Leticia Huerta Palafox

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.