Individual provider Active NPI

Hagent Lawrence Shue, PA

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1407206485
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
53904 Issued in CA
Practice address
2 Embarcadero Ctr
San Francisco, CA 94111-3823
Phone
(888) 663-6331
NPI assigned
Jun 21, 2016
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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 53904 CA Primary
Physician Assistant 363A00000X 3060 WV
Physician Assistant 363A00000X MA066401 PA

Addresses

Primary practice location

2 Embarcadero Ctr
San Francisco, CA 94111-3823

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV, WI, TX, PA, WV6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20161028000615 CA Practitioner - Physician Assistant 5991083735 Reassigns benefits to 7 organizations
I20180306002901 NV Practitioner - Physician Assistant 5991083735 Reassigns benefits to 1 organization
I20240604002839 WI Practitioner - Physician Assistant 5991083735 Reassigns benefits to 4 organizations
I20241016000060 TX Practitioner - Physician Assistant 5991083735 Reassigns benefits to 1 organization
I20250527000059 PA Practitioner - Physician Assistant 5991083735 Reassigns benefits to 1 organization
I20250913000034 WV Practitioner - Physician Assistant 5991083735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Loma Linda University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Riverview Hospital and Clinics IncGroup PAC ID 4587658182, shared by 6 NPIs, 166 clinicians

Practice addresses (Care Compare)

2031 Peach St
Wisconsin Rapids, WI 54494-5181
Phone (715) 423-0122

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Quality
87.9
Promoting interoperability
100
Improvement activities
40
Cost
73.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3060WVMDOrthodontics and Dentofacial Orthopedic Dentist
53904CAMDPharmacist
7805WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eds-I Homansky Practices of Nevada PC Physician Assistant CurrentSince Aug 2, 2022 Accepting new patients
Door County Memorial Hospital CurrentSince Oct 22, 2024 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Aug 10, 2024 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Door County Memorial Hospital CurrentSince Oct 22, 2024 Accepting new patients
Nes Western Group, a Professional Corporation CurrentSince Jun 4, 2022 Accepting new patients
Cep America - California CurrentSince Oct 7, 2016 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Oct 16, 2016 Accepting new patients
Cep America-California CurrentSince Oct 7, 2016 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Oct 16, 2016 Accepting new patients
Rosebud Indian Health Service CurrentSince Jun 29, 2024 Accepting new patients
Eds-I Homansky Practices of Nevada PC Physician Assistant CurrentSince Aug 2, 2022 Accepting new patients
Premier Emergency Physicians of California Medical Group PC Physician Assistant Past Accepting new patients
Gem Medical Group Corporation Past Accepting new patients
Rainbow Basin Emergency Physicians, a Medical Corporation Physician Assistant Past Accepting new patients

Locations

12601 Garden Grove Blvd
Garden Grove, CA 92843
Phone (714) 537-5160

3700 South St
Lakewood, CA 90712
Phone (562) 424-2900

25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

29980 Network Pl
Chicago, IL 60673

360 S Lola Ln
Pahrump, NV 89048
Phone (775) 751-7500

323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

Organizations & group practices 26

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 26

Hospital & facility affiliations 1

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1407206485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EMBARCADERO CTR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113823",
            "telephone_number": "888-663-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUE",
        "first_name": "HAGENT",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53904",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "3060",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA066401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.