Individual provider Active NPI

Nathan Hwang

  • Physician Assistant
  • Tustin, CA
National Provider Identifier
1831964758
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
63338 Issued in CA
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

Updated by the provider on Nov 29, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250908000005 CA Practitioner - Physician Assistant 1850893074 Reassigns benefits to 1 organization

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
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

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

OrganizationSpecialtyStatusNew patients
Tustin Urgent Care, Apc PastSince Nov 26, 2023 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.

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

Verify at the official NPI Registry.