Individual provider Active NPI

Caitlin Huie, PA-C

  • Medical Physician Assistant
  • Fremont, CA
National Provider Identifier
1740025725
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
2191 Mowry Ave Ste 600B
Fremont, CA 94538-1702
Phone
(562) 490-9900
NPI assigned
Jul 1, 2024
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

2191 Mowry Ave Ste 600B
Fremont, CA 94538-1702

Mailing address

4900 Airport Plaza Dr Ste 200
Long Beach, CA 90815-1375
Phone (562) 490-9900

Other practice location 1

588 Longmeadow St
Longmeadow, MA 01106-2292
Phone (800) 782-7284

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250812001910 CA Practitioner - Physician Assistant 6901304682 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66735CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tpirc Medical Foundation Inc CurrentSince Aug 17, 2025 Accepting new patients

Locations

2191 Mowry Ave
Ste 600B
Fremont, CA 94538
Phone (560) 490-9900

Interoperability endpoints

  • Direct secure messaging: caitlin.huie.1@11920.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11920/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1740025725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 AIRPORT PLAZA DR STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151375",
            "telephone_number": "562-490-9900",
            "fax_number": "562-452-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 MOWRY AVE STE 600B",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381702",
            "telephone_number": "562-490-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "588 Longmeadow St",
            "address_purpose": "LOCATION",
            "city": "Longmeadow",
            "state": "MA",
            "postal_code": "011062292",
            "country_code": "US",
            "telephone_number": "800-782-7284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUIE",
        "first_name": "CAITLIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.