Individual provider Active NPI

Elizabeth Magluyan Hartwig, PA

  • Physician Assistant
  • Santa Ana, CA
National Provider Identifier
1851766315
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA66915 Issued in CA
Practice address
801 N Tustin Ave Ste 507
Santa Ana, CA 92705-3609
Phone
(949) 566-8688
NPI assigned
Dec 9, 2015
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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 PA66915 CA Primary

Addresses

Primary practice location

801 N Tustin Ave Ste 507
Santa Ana, CA 92705-3609

Mailing address

23406 Via Ronda
Mission Viejo, CA 92691-2233
Phone (949) 274-5922

Other practice location 1

23406 Via Ronda
Mission Viejo, CA 92691-2233
Phone (949) 274-5922

Other practice location 2

9041 Magnolia Ave Ste 6
Riverside, CA 92503-3941
Phone (949) 566-8688

Other practice location 3

10841 White Oak Ave Ste 201
Rancho Cucamonga, CA 91730-3817
Phone (949) 566-8688

Other practice location 4

4700 Von Karman Ave Ste 1000
Newport Beach, CA 92660-2194
Phone (949) 566-8688

Other practice location 5

3650 South St Ste 208
Lakewood, CA 90712-1525
Phone (949) 566-8688

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)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA66915CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
James a. Kim, M.D. a Professional Medical Corporation CurrentSince Sep 3, 2025 Accepting new patients
Cohesive Massage Therapy, LLC Massage Therapist Past Accepting new patients

Locations

3650 South St
Ste 208
Lakewood, CA 90712
Phone (562) 596-1667

4700 Von Karman Ave
Ste 1000
Newport Beach, CA 92660
Phone (949) 566-8688

10841 White Oak Ave
Ste 201
Rancho Cucamonga, CA 91730
Phone (909) 581-6400

801 N Tustin Ave
Ste 507
Santa Ana, CA 92705
Phone (714) 558-6805

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": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1851766315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23406 VIA RONDA",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912233",
            "telephone_number": "949-274-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE STE 507",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053609",
            "telephone_number": "949-566-8688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23406 Via Ronda",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926912233",
            "country_code": "US",
            "telephone_number": "949-274-5922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9041 Magnolia Ave Ste 6",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925033941",
            "country_code": "US",
            "telephone_number": "949-566-8688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10841 White Oak Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917303817",
            "country_code": "US",
            "telephone_number": "949-566-8688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Von Karman Ave Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926602194",
            "country_code": "US",
            "telephone_number": "949-566-8688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3650 South St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CA",
            "postal_code": "907121525",
            "country_code": "US",
            "telephone_number": "949-566-8688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTWIG",
        "first_name": "ELIZABETH",
        "middle_name": "MAGLUYAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.