1. Home
  2. Directory
  3. California
  4. Antelope
  5. Physician Assistant
  6. NPI Profile

KELLY THUY HONGKHAM PA-C
NPI 1104755057
Physician Assistant in Antelope, CA

Active since May 18, 2026
4207 ELVERTA RD STE 111 #153, ANTELOPE, CA 95843(916) 739-7365 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Thuy Hongkham Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY THUY HONGKHAM PA-C (NPI 1104755057) is an individual physician assistant in Antelope, California and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1104755057
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY THUY HONGKHAMCredential: PA-C
Location Address4207 ELVERTA RD STE 111 #153Antelope, CA 95843
Mailing Address4207 Elverta Rd Ste 111 #153Antelope, CA 95843
Phone(916) 739-7365
Sole ProprietorNo
Enumeration DateMay 18, 2026
NPPES CertifiedMay 17, 2026
✔ NPI 1104755057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Hongkham's NPI number?

The NPI number for Kelly Hongkham is 1104755057. It was assigned to this individual provider in the NPPES registry on May 18, 2026.

Where is Kelly Hongkham located?

Kelly Hongkham practices at 4207 Elverta Rd Ste 111 #153, Antelope, CA 95843. The listed phone number is (916) 739-7365.

What is Kelly Hongkham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kelly Hongkham was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.