Kathleen Hua

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

20084 Issued in CA

Practice address

1513 S Grand Ave Ste 200
Los Angeles, CA 90015-3075

Phone

(833) 438-8763

Fax

(833) 438-8700

NPI assigned

Apr 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Pacific Heritage Medical Group Inc

  • Geriatric Psychiatry Physician
  • Westlake Village, CA
  • NPI 1467899450
  Medicare reassignment NPD
• Asana Integrated Medical Group PC

  • Psychiatry Physician
  • Sioux Falls, SD
  • NPI 1396783379

  CA

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1871957829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MUIR RD",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534668",
            "telephone_number": "169-843-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 S GRAND AVE STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153075",
            "telephone_number": "833-438-8763",
            "fax_number": "833-438-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15030 7th St",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923953811",
            "country_code": "US",
            "telephone_number": "833-438-8763",
            "fax_number": "833-438-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43845 10th St W Ste 2D",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935344800",
            "country_code": "US",
            "telephone_number": "833-438-8763",
            "fax_number": "833-438-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38920 Trade Center Dr",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935513715",
            "country_code": "US",
            "telephone_number": "833-438-8763",
            "fax_number": "833-438-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 N Waterman Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924044811",
            "country_code": "US",
            "telephone_number": "833-438-8763",
            "fax_number": "833-438-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Muir Rd",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "CA",
            "postal_code": "945534668",
            "country_code": "US",
            "telephone_number": "169-843-6804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18056 Wika Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "CA",
            "postal_code": "923072194",
            "country_code": "US",
            "telephone_number": "833-438-8763",
            "fax_number": "833-438-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1805 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924111217",
            "country_code": "US",
            "telephone_number": "844-496-9160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUA",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuqin Hu
• Zoey Sinantha Hu, MA
• Lien Hua-Feng, RN, MSN, FNP-C
• Chau Kim Hua, DOCTOR OF PHARMACY
• Dexter Hua
• Serena Nga Hua
• Suzan Hua
• Huang and Wu DDS Inc (San Marino Dental Center)
• Alden Huang, PHD
• Andy Huang, M.D.

• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.