Active NPI
Powen Hsueh, D.O.
- General Practice Physician
- La Quinta, CA
National Provider Identifier
1801280953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 20A18688
- Practice address
- 79430 Highway 111 Ste 102
La Quinta, CA 92253-4549 - Phone
- (951) 827-7793
- NPI assigned
- Mar 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34016727 | OH | |
| General Practice Physician | 208D00000X | 1614 | NE | |
| Hospitalist Physician | 208M00000X | 34016727 | OH | |
| General Practice Physician | 208D00000X | 20A18688 | CA | Primary |
Addresses
Primary practice location
79430 Highway 111 Ste 102
La Quinta, CA 92253-4549
Mailing address
79430 Highway 111 Ste 102
La Quinta, CA 92253-4549
Phone (951) 827-7793
Other practice location 1
335 Glessner Ave
Mansfield, OH 44903-2269
Phone (419) 526-8581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0022352 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1614 | NE | MD | Mental Health Counselor |
| 20A18688 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Academic Association, Inc. | Pediatrics | Current | Accepting new patients |
| Regents of the University of California | Past | Accepting new patients | |
| Pediatrix Medical Group of California, a Professional Corporation | Pediatrics | Past | Accepting new patients |
| Valley Children'S Medical Group | Pediatrics | Past | Accepting new patients |
Locations
Dept L289
Columbus, OH 43260
700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411
335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320
Interoperability endpoints
- phsueh686175@hisp.ehr.sutterhealth.org
- powen.hsueh.1@22027.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Columbus, OH
- NPI 1063419943
-
- Family Medicine Physician
- Riverside, CA
- NPI 1811255060
-
- Pediatrics Physician
- Modesto, CA
- NPI 1437555265
-
- Neonatal-Perinatal Medicine Physician
- Sunrise, FL
- NPI 1316041833
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1801280953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79430 HIGHWAY 111 STE 102",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922534549",
"telephone_number": "951-827-7793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79430 HIGHWAY 111 STE 102",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922534549",
"telephone_number": "951-827-7793"
}
],
"practiceLocations": [
{
"address_1": "335 Glessner Ave",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "OH",
"postal_code": "449032269",
"country_code": "US",
"telephone_number": "419-526-8581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HSUEH",
"first_name": "POWEN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-26",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "34016727",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "1614",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "34016727",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "20A18688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0022352",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Quinta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.