Individual provider Active NPI

Brenda L Hochuli, PA

  • Physician Assistant
  • Glendale, AZ
National Provider Identifier
1366435869
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2705 Issued in AZ
Practice address
18700 N 64TH Dr Ste 301
Glendale, AZ 85308-7114
Phone
(602) 707-3518
Fax
(623) 455-5087
NPI assigned
Aug 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 52085 CA
Medical Physician Assistant 363AM0700X 2705 AZ
Physician Assistant 363A00000X 2705 AZ Primary

Addresses

Primary practice location

18700 N 64TH Dr Ste 301
Glendale, AZ 85308-7114

Mailing address

PO Box 232410
San Diego, CA 92193-2410

Other practice location 1

13460 N 94th Dr Ste J1
Peoria, AZ 85381-4246
Phone (623) 876-8816

Other practice location 2

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050107000688 AZ Practitioner - Physician Assistant 4486602240 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

18700 N 64TH Dr
Suite 301
Glendale, AZ 85308-7114
Phone (602) 674-6582

18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone (623) 561-1000

1930 E Thomas Rd
Phoenix, AZ 85016-7711
Phone (602) 532-1000

5130 W Baseline Rd
Suite 102
Laveen, AZ 85339-2984
Phone (602) 237-0039

Hospital & facility affiliations

  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094
  • Abrazo West Campus Hospital, Goodyear, AZ, CCN 030110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52085CAMDPhysician Assistant
2705AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. CurrentSince Aug 14, 2023 Accepting new patients
Heartcare PC Cardiovascular Disease Past Accepting new patients
Mesa General Emergency Physicians, LLC Past Accepting new patients

Locations

18700 N 64th Dr
Ste 201
Glendale, AZ 85308
Phone (602) 699-6272

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

18700 N 64th Dr
Ste 301
Glendale, AZ 85308
Phone (623) 561-5437

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

1910 E Thomas Rd
Ste 200
Phoenix, AZ 85016

Interoperability endpoints

  • Direct secure messaging: brenda.hochuli.2@600.direct.athenahealth.com
  • Direct secure messaging: brenda.hochuli.1@600.direct.athenahealth.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1366435869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 N 64TH DR STE 301",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087114",
            "telephone_number": "602-707-3518",
            "fax_number": "623-455-5087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13460 N 94th Dr Ste J1",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814246",
            "country_code": "US",
            "telephone_number": "623-876-8816",
            "fax_number": "623-298-0168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W Arbor Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921039000",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOCHULI",
        "first_name": "BRENDA",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52085",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2705",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.