BONNIE SCHULTZ HUCKABY MPAS, PA-C
NPI 1932109204
Physician Assistant in Santa Ana, CA

Active since July 28, 2005PECOS Enrolled
1971 E 4TH ST STE 200, SANTA ANA, CA 92705(888) 959-5192 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 29, 2022, Jan 25, 2016 (2 updates tracked since 2016).

About Bonnie Schultz Huckaby Mpas, Pa-c NPPES

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

BONNIE SCHULTZ HUCKABY MPAS, PA-C (NPI 1932109204) is an individual physician assistant in Santa Ana, California, licensed in Texas (PA04247) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1932109204
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBONNIE SCHULTZ HUCKABYCredential: MPAS, PA-C
Location Address1971 E 4TH ST STE 200Santa Ana, CA 92705-3917
Mailing Address4301 Lake Breeze CtFort Worth, TX 76132 · (817) 707-0707
Sole ProprietorYes
Enumeration DateJuly 28, 2005
Last NPPES UpdateSeptember 29, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2022
NPI 1932109204 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 TX · PA04247
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.
1971 E 4TH ST STE 200, Santa Ana, CA 92705

Secondary Practice Location 1

Location 15701 Bryant Irvin Rd Ste 201Fort Worth, TX 76132-4026 · Phone (817) 263-2500 · Fax (817) 346-4006

Other Identifiers 1

Medicaid328451501TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Bonnie Schultz Huckaby Mpas, Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

Physician Assistant
1971 E 4TH ST STE 200
SANTA ANA, CA 92705
Physician Assistant
1971 E 4TH ST STE 200
SANTA ANA, CA 92705
Physician Assistant
1971 E 4TH ST STE 200
SANTA ANA, CA 92705
Physician Assistant (Medical)
1971 E 4TH ST STE 200
SANTA ANA, CA 92705
Early Intervention Provider Agency
1971 E 4TH ST STE 200
SANTA ANA, CA 92705
Nurse Practitioner (Family)
1971 E 4TH ST STE 200
SANTA ANA, CA 92705

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 Bonnie Huckaby's NPI number?

The NPI number for Bonnie Huckaby is 1932109204. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Bonnie Huckaby located?

Bonnie Huckaby practices at 1971 E 4th St Ste 200, Santa Ana, CA 92705. The listed phone number is (888) 959-5192.

What is Bonnie Huckaby's specialty?

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

Is Bonnie Huckaby enrolled in Medicare?

Yes. Bonnie Huckaby is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bonnie Huckaby was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.