Individual provider Active NPI

Adrian Hoang, PA-C

  • Physician Assistant
  • Stanton, CA
National Provider Identifier
1891927828
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
20445 Issued in CA
Practice address
12116 Beach Blvd
Stanton, CA 90680-3704
Phone
(714) 898-2222
Fax
(714) 894-9865
NPI assigned
Aug 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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 20445 CA Primary

Addresses

Primary practice location

12116 Beach Blvd
Stanton, CA 90680-3704

Mailing address

12116 Beach Blvd
Stanton, CA 90680-3704
Phone (714) 898-2222

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
I20100901000864 CA Practitioner - Physician Assistant 3678697356 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
20445CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 1, 2017 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 1, 2017 Accepting new patients
Central City Community Health Center Inc General Practice CurrentSince Oct 5, 2022 Accepting new patients

Locations

2237 W Ball Rd
Anaheim, CA 92804
Phone (714) 490-2750

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

4126 Maine Ave
Baldwin Park, CA 91706
Phone (626) 653-0800

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

130 W Route 66
Ste 208
Glendora, CA 91740
Phone (626) 335-4079

5970 S Central Ave
Los Angeles, CA 90001
Phone (213) 234-3280

2019 Saturn St
Monterey Park, CA 91755
Phone (323) 724-0019

12116 Beach Blvd
Stanton, CA 90680
Phone (714) 498-2222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1249776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1891927828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12116 BEACH BLVD",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906803704",
            "telephone_number": "714-898-2222",
            "fax_number": "714-894-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12116 BEACH BLVD",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906803704",
            "telephone_number": "714-898-2222",
            "fax_number": "714-894-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "ADRIAN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-09",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "20445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanton, CA

Sources for this page

Verify at the official NPI Registry.