Individual provider Active NPI

Kingsley Kingyung Hui, PA-C

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1396430278
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
62584 Issued in CA
Practice address
1700 E Cesar Chavez Ave
Ste 2500
Los Angeles, CA 90033-3040
Phone
(415) 819-4056
NPI assigned
Apr 7, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 62584 CA Primary

Addresses

Primary practice location

1700 E Cesar Chavez Ave
Ste 2500
Los Angeles, CA 90033-3040

Mailing address

1700 E Cesar Chavez Ave
Ste 2500
Los Angeles, CA 90033-3040

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
I20230721001992 CA Practitioner - Physician Assistant 3274993225 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62584CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthright 360 CurrentSince Jun 1, 2023 Accepting new patients
Michael R. Gatto MD, Inc. PastSince Aug 1, 2007 Accepting new patients
Citrus Valley Medical Associates, Inc. PastSince Aug 2, 2021 Accepting new patients
Samir a Shah MD Professional Corporation Past Accepting new patients
Employee Medical Consultants PC Past Accepting new patients

Locations

117 N San Mateo Dr
Ste 1
San Mateo, CA 94401
Phone (650) 342-2420

Organizations & group practices 7

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": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1396430278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E CESAR CHAVEZ AVE",
            "address_2": "STE 2500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900333040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E CESAR CHAVEZ AVE",
            "address_2": "STE 2500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900333040",
            "telephone_number": "415-819-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUI",
        "first_name": "KINGSLEY",
        "middle_name": "KINGYUNG",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-07",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "62584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.