Active NPI
Tri Ho
- Physician Assistant
- Garden Grove, CA
National Provider Identifier
1508750019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA67787
- Practice address
- 12665 Garden Grove Blvd
Garden Grove, CA 92843-1901 - Phone
- (657) 342-5629
- NPI assigned
- Jun 7, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA67787 | CA | Primary |
Addresses
Primary practice location
12665 Garden Grove Blvd
Garden Grove, CA 92843-1901
Mailing address
12665 Garden Grove Blvd Ste 304
Garden Grove, CA 92843-1917
Phone (714) 537-5302
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6832 Trask Ave
Westminster, CA 92683-2576
PO Box
Beverly Hills, CA 90209
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1508750019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12665 GARDEN GROVE BLVD STE 304",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928431917",
"telephone_number": "714-537-5302",
"fax_number": "714-537-0592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12665 GARDEN GROVE BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928431901",
"telephone_number": "657-342-5629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HO",
"first_name": "TRI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-07",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA67787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.