Individual provider Active NPI

Hannah Shirley Kim Hurd, PA-C

  • Physician Assistant
  • Laguna Woods, CA
National Provider Identifier
1902630288
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA64800 Issued in CA
Practice address
24331 El Toro Rd Ste 200
Laguna Woods, CA 92637-3116
Phone
(949) 586-3200
NPI assigned
Aug 28, 2024
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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 PA64800 CA Primary

Addresses

Primary practice location

24331 El Toro Rd Ste 200
Laguna Woods, CA 92637-3116

Mailing address

4565 Royal Oak Rd
Santa Maria, CA 93455-4347
Phone (805) 868-6556

Other practice location 1

111 Continental Dr Ste 201
Newark, DE 19713-4330
Phone (302) 356-9440

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
I20240926001030 CA Practitioner - Physician Assistant 3971044215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OrthowestGroup PAC ID 3072932623, 48 clinicians

Practice addresses (Care Compare)

22 Odyssey
Suite 205
Irvine, CA 92618-3197
Phone (949) 586-3200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA64800CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthowest CurrentSince Sep 9, 2024 Accepting new patients
Orthowest Physician Assistant CurrentSince Sep 9, 2024 Accepting new patients
Orthowest Past Accepting new patients

Locations

22 Odyssey
Ste 205
Irvine, CA 92618
Phone (949) 870-3332

24331 El Toro Rd
Ste 200
Laguna Woods, CA 92637
Phone (949) 767-0800

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1902630288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4565 ROYAL OAK RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934554347",
            "telephone_number": "805-868-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24331 EL TORO RD STE 200",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373116",
            "telephone_number": "949-586-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Continental Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197134330",
            "country_code": "US",
            "telephone_number": "302-356-9440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURD",
        "first_name": "HANNAH",
        "middle_name": "SHIRLEY KIM",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA64800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Woods, CA

Sources for this page

Verify at the official NPI Registry.