Individual provider Active NPI

Larry C Hughes, MD

  • Family Medicine Physician
  • Hemet, CA
National Provider Identifier
1417033291
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G59842 Issued in CA
Practice address
4020 W Florida Ave
Hemet, CA 92545-5279
Phone
(951) 925-9565
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) Physician 207QA0000X G59842 CA
Adult Medicine Physician 207QA0505X G59542 CA
Geriatric Medicine (Family Medicine) Physician 207QG0300X G59842 CA
Sports Medicine (Family Medicine) Physician 207QS0010X G59842 CA
Family Medicine Physician 207Q00000X G59842 CA Primary

Addresses

Primary practice location

4020 W Florida Ave
Hemet, CA 92545-5279

Mailing address

4020 W Florida Ave
Hemet, CA 92545-5279
Phone (951) 925-9565

Other identifiers 4

IdentifierTypeStateIssuer
00G598420MedicaidCA
00G598421MedicaidCA
080022933OtherRAILROAD MEDICARE
ZZZ30159ZOtherCAMEDICAE GROUP LINK

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914001412 CA Practitioner - Family Practice 4082681457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Dakota School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Larry C Hughes MD Inc a Medical CorporationGroup PAC ID 8426372988, 6 clinicians

Practice addresses (Care Compare)

4020 W Florida Ave
Hemet, CA 92545-5279
Phone (951) 925-9565

Hospital & facility affiliations

  • Los Robles Healthcare at Home Home health agency, San Diego, CA, CCN 053100
  • High Care Hospice, Inc Hospice, Riverside, CA, CCN A11589
  • Menifee Lakes Post Acute Nursing home, Sun City, CA, CCN 056185
  • Ramona Rehabilitation and Post Acute Care Center Nursing home, Hemet, CA, CCN 056214

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G59542CAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Larry C Hughes MD Inc a Medical Corporation Family Medicine CurrentSince Apr 1, 2004 Accepting new patients
Anchor Hospice LLC Current Accepting new patients
Hemet Valley Medical Center Past Accepting new patients

Locations

4020 W Florida Ave
Hemet, CA 92545
Phone (951) 766-6040

4020 W Florida Ave
Ste H
Hemet, CA 92545
Phone (951) 652-0522

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: larry.hughes.p23@direct.kmsm.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hemet Valley Healthcare CenterHemet, CA, CCN 555623 Skilled nursing facility Corporate Officer
Corporate Director
Oct 13, 2010
Oct 13, 2010
High Care Hospice IncRiverside, CA, CCN A11589 Hospice Contracted Managing Employee (100%) Jan 1, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1417033291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925455279",
            "telephone_number": "951-925-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925455279",
            "telephone_number": "951-925-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "LARRY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "CA",
            "license": "G59842",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "G59542",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G59842",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "G59842",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G59842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G598420",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G598421",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080022933",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAE GROUP LINK",
            "identifier": "ZZZ30159Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.