ASHLEY LUU TULLY PA-C
NPI 1932963451
Physician Assistant - Medical in Huntington Park, CA
About Ashley Luu Tully Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASHLEY LUU TULLY PA-C (NPI 1932963451) is an individual medical provider in Huntington Park, California, licensed in California (PA64157) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ashley Luu Tully Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
HUNTINGTON PARK, CA 90255
HUNTINGTON PARK, CA 90255
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 Ashley Luu Tully's NPI number?
The NPI number for Ashley Luu Tully is 1932963451. It was assigned to this individual provider in the NPPES registry on February 7, 2024.
Where is Ashley Luu Tully located?
Ashley Luu Tully practices at 2568 Clarendon Ave, Huntington Park, CA 90255. The listed phone number is (323) 582-5444.
What is Ashley Luu Tully's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Ashley Luu Tully enrolled in Medicare?
Yes. Ashley Luu Tully is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ashley Luu Tully was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Ashley Luu Tully, PA-C · NPI 1932963451
Medical physician in Huntington Park, California. Individual provider, active in the CMS NPPES registry since February 7, 2024.
## Identity
- **NPI:** 1932963451 (Entity type: Individual)
- **Enumerated:** February 7, 2024
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA64157 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2568 CLARENDON AVE, Huntington Park, CA 90255-4073
- **Phone:** (323) 582-5444
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 19, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1932963451) · Data from the CMS NPPES public registry.