Individual provider Active NPI

Anne Hurley, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Orange, CA
National Provider Identifier
1972304145
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA66126 Issued in CA
Practice address
505 S Main St Ste 100
Orange, CA 92868-4568
Phone
(714) 509-3919
NPI assigned
Mar 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 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 PA66126 CA Primary

Addresses

Primary practice location

505 S Main St Ste 100
Orange, CA 92868-4568

Mailing address

2069 Monrovia Ave
Costa Mesa, CA 92627-4138
Phone (562) 708-4379

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
I20250804003269 CA Practitioner - Physician Assistant 2668980376 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66126CAMDMarriage & Family Therapist
PA66126CAMDPhysician Assistant

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group, Inc. CurrentSince May 1, 2025 Accepting new patients
Prohealth Partners a Medical Group Inc CurrentSince May 1, 2025 Accepting new patients
Prohealth Partners a Medical Group Inc Past Accepting new patients

Locations

2701 Atlantic Ave
Long Beach, CA 90806
Phone (562) 684-8096

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

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": "1742601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1972304145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2069 MONROVIA AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274138",
            "telephone_number": "562-708-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S MAIN ST STE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684568",
            "telephone_number": "714-509-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "ANNE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-22",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.