ANDREW HAUGHEY IMBUS (PA-C) – Medical Physician Assistant, NPI 1073645263

ANDREW HAUGHEY IMBUS (PA-C) is a healthcare provider. based in Arcadia, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA17958 (CA). The NPI Number for ANDREW HAUGHEY IMBUS (PA-C) is 1073645263

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW HAUGHEY IMBUS (PA-C)
NPI
1073645263
Phone
(626) 445-6275
Address
665 W NAOMI AVE
Enumeration Date
12 March 2007
Last Update Date
2 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2136674784
Graduation Year
2005 (21 years ago)
PAC ID
5294861969
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20100405000359
Address ID
CA900276021LO4733XBLVD400
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for ANDREW HAUGHEY IMBUS (PA-C)

  • 665 W NAOMI AVE

    #202

    ARCADIA, CA 910077563

    Phone: (626) 445-6275

    Fax: (626) 445-3583

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 269 Open Payments records for all available years, with a total value of $16,517.

Total Amount is formed as General ($16,517) + Research ($0) + Ownership ($0) = $16,517.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Abbott Laboratories ($10,128).

Total Amount

$16,517

General + Research + Ownership

Payments

269

Total payment records

General Amount

$16,517

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100405000359IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91007)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

What is ANDREW HAUGHEY IMBUS (PA-C)'s NPI number?
ANDREW HAUGHEY IMBUS (PA-C)'s NPI is 1073645263 — the number used across U.S. healthcare to identify this provider.
Would ANDREW HAUGHEY IMBUS (PA-C) appear as active to a payer?
You can treat ANDREW HAUGHEY IMBUS (PA-C) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe ANDREW HAUGHEY IMBUS (PA-C)'s focus?
For ANDREW HAUGHEY IMBUS (PA-C), the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ANDREW HAUGHEY IMBUS (PA-C)?
Travel planning: use Arcadia, California as the reference point for ANDREW HAUGHEY IMBUS (PA-C), then confirm.
When was this NPI issued?
Enumeration for ANDREW HAUGHEY IMBUS (PA-C) is noted as March 12, 2007 where the registry provides it.

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