KALLIE STAHLHUTH
NPI 1205656543
Physician Assistant - Medical in Los Angeles, CA

Active since October 11, 2024PECOS EnrolledAccepts Medicare Assignment
8436 W 3RD ST STE 800, LOS ANGELES, CA 90048(207) 449-0940 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2025, Oct 11, 2024 (2 updates tracked since 2024).

About Kallie Stahlhuth NPPES

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

KALLIE STAHLHUTH (NPI 1205656543) is an individual medical provider in Los Angeles, California, licensed in California (66033) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1205656543
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKALLIE STAHLHUTH
Location Address8436 W 3RD ST STE 800Los Angeles, CA 90048-4100
Mailing Address8436 W 3rd St Ste 800Los Angeles, CA 90048-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 11, 2024
Last NPPES UpdateMay 9, 20252 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
NPI 1205656543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · 66033
8436 W 3RD ST STE 800, Los Angeles, CA 90048

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kallie Stahlhuth is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204347842
PECOS Enrollment IDI20250619000787
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Anesthesiology (Pain Medicine)
8436 W 3RD ST STE 800
LOS ANGELES, CA 90048
Pain Medicine (Pain Medicine)
8436 W 3RD ST STE 800
LOS ANGELES, CA 90048
Orthopaedic Surgery
8436 W 3RD ST STE 800
LOS ANGELES, CA 90048
Neurological Surgery
8436 W 3RD ST STE 800
LOS ANGELES, CA 90048
Physician Assistant
8436 W 3RD ST STE 800
LOS ANGELES, CA 90048
Physician Assistant (Surgical)
8436 W 3RD ST STE 800
LOS ANGELES, CA 90048
Plastic Surgery (Surgery of the Hand)
8436 W 3RD ST STE 800
LOS ANGELES, CA 90048
Orthopaedic Surgery (Sports Medicine)
8436 W 3RD ST STE 800
LOS ANGELES, CA 90048

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 Kallie Stahlhuth's NPI number?

The NPI number for Kallie Stahlhuth is 1205656543. It was assigned to this individual provider in the NPPES registry on October 11, 2024.

Where is Kallie Stahlhuth located?

Kallie Stahlhuth practices at 8436 W 3rd St Ste 800, Los Angeles, CA 90048. The listed phone number is (207) 449-0940.

What is Kallie Stahlhuth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kallie Stahlhuth enrolled in Medicare?

Yes. Kallie Stahlhuth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kallie Stahlhuth was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.