Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since May 18, 2026
4400 DUCKHORN DR STE 100, SACRAMENTO, CA 95834(916) 575-8000 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 10, 2026, May 18, 2026 (2 updates tracked since 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 Sacramento, California, licensed in California (68564) 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 Address4400 DUCKHORN DR STE 100Sacramento, CA 95834-2680
Mailing Address4400 Duckhorn Dr Ste 100Sacramento, CA 95834-2680
Sole ProprietorNo
Enumeration DateMay 18, 2026
Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 10, 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
License✔ Licensed in CA · 68564
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.
4400 DUCKHORN DR STE 100, Sacramento, CA 95834

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4400 DUCKHORN DR STE 100
SACRAMENTO, CA 95834
Pediatrics
4400 DUCKHORN DR STE 100
SACRAMENTO, CA 95834
Obstetrics & Gynecology
4400 DUCKHORN DR STE 100
SACRAMENTO, CA 95834
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4400 DUCKHORN DR STE 100
SACRAMENTO, CA 95834
Internal Medicine
4400 DUCKHORN DR STE 100
SACRAMENTO, CA 95834
Internal Medicine
4400 DUCKHORN DR STE 100
SACRAMENTO, CA 95834
Dietitian, Registered
4400 DUCKHORN DR STE 100
SACRAMENTO, CA 95834
Family Medicine
4400 DUCKHORN DR STE 100
SACRAMENTO, CA 95834

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 4400 Duckhorn Dr Ste 100, Sacramento, CA 95834. The listed phone number is (916) 575-8000.

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 September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.