IVY JENNIFER HSU DO
NPI 1316706492
Student in an Organized Health Care Education/Training Program in Pomona, CA

Q: What is Ivy Hsu's NPI number?

The NPI number for Ivy Hsu is 1316706492. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Q: What is Ivy Hsu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ivy Hsu was last updated on February 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 19, 2024PECOS Enrolled

1770 N ORANGE GROVE AVE STE 101, POMONA, CA 91767(909) 469-9494(909) 469-2120 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ivy Jennifer Hsu Do NPPES

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

IVY JENNIFER HSU DO (NPI 1316706492) is an individual student in an organized health care education/training program in Pomona, California, licensed in California (PTL3624) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316706492

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameIVY JENNIFER HSUCredential: DO

Location Address1770 N ORANGE GROVE AVE STE 101Pomona, CA 91767-3027

Mailing Address1149 W 25th StLos Angeles, CA 90007-1794 · (408) 582-2317

Phone(909) 469-9494

Fax(909) 469-2120

Sole ProprietorNo

Enumeration DateMarch 19, 2024

Last NPPES UpdateFebruary 19, 2026

NPPES CertifiedFebruary 19, 2026

✔ NPI 1316706492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in CA · PTL3624

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1770 N ORANGE GROVE AVE STE 101, Pomona, CA 91767

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivy Jennifer Hsu Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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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.

MOHAMED ELSHARKAWY MD

Family Medicine