Kimberly S. Hua, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA22681 Issued in CA

Practice address

1600 S Gaffey St
San Pedro, CA 90731-4628

Phone

(310) 548-0201

Fax

(310) 547-3340

NPI assigned

Oct 29, 2012

Sex

Female

Sole proprietor

Yes

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

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

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.

• Dr Mona Shah Professional Corporation

  • Internal Medicine Physician
  • San Pedro, CA
  • NPI 1053643171
  Medicare reassignment
• Peter D. Sliskovich, MD, Inc.

  • Family Medicine Physician
  • San Pedro, CA
  • NPI 1316248313
  NPD (past)

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1346594363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S. GAFFEY STREET",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "90731",
            "telephone_number": "310-548-0201",
            "fax_number": "310-547-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S GAFFEY ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907314628",
            "telephone_number": "310-548-0201",
            "fax_number": "310-547-3340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1366 W 7th St",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907323517",
            "country_code": "US",
            "telephone_number": "310-833-2461 x3221",
            "fax_number": "310-833-6432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUA",
        "first_name": "KIMBERLY",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Ann Howat, MN, RN, FNP-C,SCHOOL
• Lisa Christine Howe, LCSW
• Karen Sue Hoyt, M.D.
• Shu Chen Hsiao, LCSW, PPSC
• Bamboo Hsu, M.S.W.
• Grace Melissa Huang
• Amanda Marie Hudgens
• Gerardo E Huizar, COUNSELOR
• Katie Hulbert
• Lisa Marie Humphreys, M.D.

• Physician Assistant in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.