IndividualActive
Cody Larson, PAC
NPI 1831496496 · Physician Assistant · Apo
Provider details
- NPI number
- 1831496496
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
67% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Ansbach Army Health Clinic
Bldg 8156 Comanche Blvd
Apo, 09250
Phone: (314) 590-3601
Approximate (ZIP-level) locationGet directions
Mailing address
92-104 Waialii Pl
Kapolei, HI 96707-4425
Registry dates
- Enumerated
- 2011-02-17
- Last updated
- 2025-12-12
- Certified
- 2025-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.