Individual provider Active NPI

Angela Lynn Hudson, PMHNP, FNP, PHD

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Alamitos, CA
National Provider Identifier
1750891446
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
397230 Issued in CA
Practice address
4281 Katella Ave Ste 215
Los Alamitos, CA 90720
Phone
(714) 826-2941
NPI assigned
Oct 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 397230 CA Primary

Addresses

Primary practice location

4281 Katella Ave Ste 215
Los Alamitos, CA 90720

Mailing address

230 Mountain CT
Brea, CA 92821-3476
Phone (310) 709-8234

Other practice location 1

2900 S Kanan Dume Rd
Malibu, CA 90265-2792
Phone (310) 457-3209

Other practice location 2

2900 S Kanan Dume Rd
Malibu, CA 90265-2792
Phone (310) 457-3209

Other names 1

  • Dr. Angela Lynn Hudson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
397230CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Canyon at Peace Park, LLC Past Accepting new patients

Organizations & group practices 1

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": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1750891446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MOUNTAIN CT",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213476",
            "telephone_number": "310-709-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4281 KATELLA AVE STE 215",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "90720",
            "telephone_number": "714-826-2941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 S Kanan Dume Rd",
            "address_purpose": "LOCATION",
            "city": "Malibu",
            "state": "CA",
            "postal_code": "902652792",
            "country_code": "US",
            "telephone_number": "310-457-3209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 S Kanan Dume Rd",
            "address_purpose": "LOCATION",
            "city": "Malibu",
            "state": "CA",
            "postal_code": "902652792",
            "country_code": "US",
            "telephone_number": "310-457-3209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "credential": "PMHNP, FNP, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "397230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "HUDSON",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "PMHNP, FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.