Active NPI
Nathan Hwang
- Physician Assistant
- Tustin, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 63338
- Practice address
- 17612 17TH St Ste 101
Tustin, CA 92780-1962 - Phone
- (714) 243-5450
- NPI assigned
- Nov 21, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 63338 | CA | Primary |
Addresses
Primary practice location
17612 17TH St Ste 101
Tustin, CA 92780-1962
Mailing address
17612 17TH St Ste 101
Tustin, CA 92780-1962
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 W Washington Blvd
Suite 100
Los Angeles, CA 90015-3316
Phone (213) 729-0078
13303 Riverside Dr
Sherman Oaks, CA 91423-2508
Phone (818) 722-3230
1365 S Grand Ave
Glendora, CA 91740-5047
Phone (626) 385-1456
2195 Sepulveda Blvd
Torrance, CA 90501-4616
Phone (424) 337-1600
2300 Wilshire Blvd
Suite 104
Santa Monica, CA 90403-5863
Phone (424) 416-7900
2603 Via Campo
Suite 100
Montebello, CA 90640-1807
Phone (626) 752-2770
2613 Pacific Coast Hwy
Torrance, CA 90505-7037
Phone (424) 625-0220
26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225
28900 S Western Ave
Rancho Palos Verdes, CA 90275-0805
Phone (424) 702-0500
2968 E Florence Ave
Huntington Park, CA 90255-5826
Phone (323) 522-9500
3215 N Sepulveda Blvd
Manhattan Beach, CA 90266-2453
Phone (424) 295-0540
3932 Long Beach Blvd
Suite a
Long Beach, CA 90807-2615
Phone (562) 855-2800
395 Silver Spur Rd
Rolling Hills Estates, CA 90274-3569
Phone (424) 323-3500
4121 Santa Monica Blvd
Suite 103
Los Angeles, CA 90029-2270
Phone (213) 335-7355
4200 E Pacific Coast
Suite 102
Long Beach, CA 90804-2107
Phone (562) 661-9100
4730 Lincoln Blvd
Marina del Rey, CA 90292-6902
Phone (424) 352-0371
475 Foothill Blvd
Suite K
La Canada, CA 91011-3555
Phone (818) 528-6377
5101 Lakewood Blvd
Lakewood, CA 90712-2413
Phone (562) 800-3883
725 S Pacific Coast Hwy
Redondo Beach, CA 90277-4226
Phone (424) 296-3100
797 S Fair Oaks Ave
Suite 100
Pasadena, CA 91105-2617
Phone (626) 385-1455
8135 N Painter Ave
Suite 104
Whittier, CA 90602-3164
Phone (562) 758-2345
8985 Venice Blvd
Suite a 3B
Los Angeles, CA 90034-3344
Phone (424) 502-1020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tustin Urgent Care, Apc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Calabasas, CA
- NPI 1588901532
-
- Urgent Care Clinic/Center
- Tustin, CA
- NPI 1225407596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1831964758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17612 17TH ST STE 101",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927801962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17612 17TH ST STE 101",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927801962",
"telephone_number": "714-243-5450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANG",
"first_name": "NATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-21",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "63338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.