Individual provider Active NPI

Priscilla Hai

  • Physician Assistant
  • San Jose, CA
National Provider Identifier
1922892876
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
66273 Issued in CA
Practice address
200 Jose Figueres Ave Ste 480
San Jose, CA 95116-1595
Phone
(408) 684-4104
NPI assigned
Apr 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 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 66273 CA Primary

Addresses

Primary practice location

200 Jose Figueres Ave Ste 480
San Jose, CA 95116-1595

Mailing address

200 Jose Figueres Ave Ste 480
San Jose, CA 95116-1595
Phone (408) 684-4104

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
I20250418001058 CA Practitioner - Physician Assistant 8729503081 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
Khurram Abbass MD IncGroup PAC ID 4183902463, 5 clinicians

Practice addresses (Care Compare)

200 Jose Figueres Ave
Suite 480
San Jose, CA 95116-1595
Phone (408) 684-4104

2512 Samaritan CT
Suite H
San Jose, CA 95124-4002
Phone (408) 684-4104

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Network, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: priscilla.hai.1@14468.direct.athenahealth.com

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": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1922892876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE STE 480",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161595",
            "telephone_number": "408-684-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE STE 480",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161595",
            "telephone_number": "408-684-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAI",
        "first_name": "PRISCILLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "66273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.