NPIMap

Individual provider Active NPI

Phu Hoang, PA-C

  • Physician Assistant
  • Pomona, CA
National Provider Identifier
1588094452
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
51312 Issued in CA
Practice address
1818 N Orange Grove Ave Ste 307
Pomona, CA 91767-3028
Phone
(909) 865-2102
NPI assigned
Nov 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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 51312 CA Primary

Addresses

Primary practice location

1818 N Orange Grove Ave Ste 307
Pomona, CA 91767-3028

Mailing address

1818 N Orange Grove Ave Ste 307
Pomona, CA 91767-3028
Phone (909) 865-2102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140315000383 CA Practitioner - Physician Assistant 5092946038 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden State Emergency Physicians IncGroup PAC ID 4981885951, 26 clinicians
Ridgeline Emergency Physicians Medical Group, Inc.Group PAC ID 0345521613, 39 clinicians
Quantum Healthcare Medical Associates IncGroup PAC ID 5294647574, 109 clinicians

Practice addresses (Care Compare)

1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone (213) 742-5555

18300 Roscoe Blvd
Northridge, CA 91325-4105
Phone (818) 885-5396

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-1000

Hospital & facility affiliations

  • Arrowhead Regional Medical Center Hospital, Colton, CA, CCN 050245
  • Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058

Merit-based Incentive Payment System (MIPS)

Final score
94.35 of 100Reported as group
Quality
81.59
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeline Emergency Physicians Medical Group, Inc. CurrentSince Jan 21, 2026 Accepting new patients
MGM Physician Assistant Inc CurrentSince Oct 1, 2025 Accepting new patients
Golden State Emergency Physicians Inc CurrentSince Jan 21, 2026 Accepting new patients
Pacific Professional Surgical Group Inc Past Accepting new patients

Locations

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

1525 3rd St
Ste 205
Riverside, CA 92507
Phone (310) 619-7370

Organizations & group practices 12

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 2

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": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1588094452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 N ORANGE GROVE AVE STE 307",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673028",
            "telephone_number": "909-865-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N ORANGE GROVE AVE STE 307",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673028",
            "telephone_number": "909-865-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "PHU",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "51312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.