Jackie A Kwok

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA68593 Issued in CA

Practice address

800 S Raymond Ave FL 2
Pasadena, CA 91105-3229

Phone

(626) 795-8051

Fax

(626) 795-3056

NPI assigned

Jan 5, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1417814286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513",
            "telephone_number": "626-795-8051",
            "fax_number": "626-795-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S RAYMOND AVE FL 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053229",
            "telephone_number": "626-795-8051",
            "fax_number": "626-795-3056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4380 Main St",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142263544",
            "country_code": "US",
            "telephone_number": "800-462-7652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWOK",
        "first_name": "JACKIE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA68593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Kwan
• Tao Kwan, LAC, PHD, DIPL. OM
• Marcella Hudson Kwitny, RN
• Abigail Jin-Hee Kwok
• Effie TSZ-Ting Kwok
• Vivian Kwok
• Ellen Marie Kwon, PSY.D.
• Gerald Kwon
• Hyukjin Kwon, LAC
• Lena Kwong

• Physician Assistant in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.