Individual provider Active NPI

Jennifer Lynne Huie, PA-C

  • Physician Assistant
  • Torrance, CA
National Provider Identifier
1457543654
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15688 Issued in CA
Practice address
1000 W. Carson Street
Torrance, CA 90509-2910
Phone
(310) 222-2717
NPI assigned
Aug 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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 PA15688 CA Primary

Addresses

Primary practice location

1000 W. Carson Street
Torrance, CA 90509-2910

Mailing address

1000 W. Carson Street
Torrance, CA 90509-2910
Phone (310) 222-2717

Other names 1

  • Jennifer Lynne Huie Macdonald Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA15688CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Apr 14, 2012 Accepting new patients
County of Los Angeles CurrentSince Apr 14, 2012 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

Organizations & group practices 2

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": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1457543654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W. CARSON STREET",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905092910",
            "telephone_number": "310-222-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W. CARSON STREET",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905092910",
            "telephone_number": "310-222-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUIE",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MACDONALD",
            "middle_name": "LYNNE HUIE",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.