Active NPI
Bao Thai Huynh
- Family Medicine Physician
- Palm Springs, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A182744
- Practice address
- 555 E Tachevah Dr Ste 2W103
Palm Springs, CA 92262-5748 - Phone
- (760) 464-0023
- Fax
- (760) 459-3001
- NPI assigned
- Apr 7, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A182744 | CA | Primary |
Addresses
Primary practice location
555 E Tachevah Dr Ste 2W103
Palm Springs, CA 92262-5748
Mailing address
555 E Tachevah Dr Ste 2W103
Palm Springs, CA 92262-5748
Phone (760) 464-0023
Other practice location 1
67770 Ontina Rd
Cathedral City, CA 92234-5576
Phone (337) 349-2477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in New Orleans, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
555 E Tachevah Dr
Suite 1E204
Palm Springs, CA 92262-5733
Phone (760) 424-8731
Hospital & facility affiliations
- Desert Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A182744 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Johns Community Health | Current | Accepting new patients | |
| St. Johns Community Health | Current | Accepting new patients | |
| St. Johns Community Health | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Family Medicine | Current | Accepting new patients |
| First Choice Physician Partners | Current | Accepting new patients | |
| Desert Physicians Medical Group Health | Family Medicine | Current | Accepting new patients |
| St. Johns Community Health | Past | Accepting new patients | |
| St. Johns Community Health | Past | Accepting new patients | |
| Hi-Desert Medical Center | Past | Accepting new patients | |
| Diagnostic Imaging Services | Past | Accepting new patients |
Locations
2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332
82025 US Highway 111
Unit 101
Indio, CA 92201
Phone 32354116002332
1555 W 110th St
Los Angeles, CA 90047
Phone (323) 757-2771
1910 Magnolia Ave
Ste 101
Los Angeles, CA 90007
1910 Magnolia Ave
Los Angeles, CA 90007
Phone (213) 342-0100
1100 N Palm Canyon Dr
Ste 109
Palm Springs, CA 92262
Phone (760) 992-7152
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
555 E Tachevah Dr
Ste 2E107
Palm Springs, CA 92262
Phone (760) 561-7373
555 E Tachevah Dr
Ste 1E204
Palm Springs, CA 92262
Phone (760) 325-4100
555 E Tachevah Dr
Ste 2W103
Palm Springs, CA 92262
Phone (760) 327-2707
555 E Tachevah Dr
Ste 3W101
Palm Springs, CA 92262
Phone (760) 327-1557
35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466
1821 S San Jacinto Ave
Ste D
San Jacinto, CA 92583
Phone 32328598302332
1500 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 381-1591
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- bao.huynh.1@31502.direct.athenahealth.com
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Palm Springs, CA
- NPI 1134742703
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1073653630
-
- Neurological Surgery Physician
- Modesto, CA
- NPI 1104183052
-
- Family Medicine Physician
- Palm Springs, CA
- NPI 1558797118
-
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
-
- Community Health Clinic/Center
- Los Angeles, CA
- NPI 1073363768
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1598002628
-
- Radiology Clinic/Center
- Joshua Tree, CA
- NPI 1477683951
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1093278632
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1780376947
-
- Magnetic Resonance Imaging (MRI) Internal Medicine Physician
- Metairie, LA
- NPI 1699793166
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Springs, CA
- NPI 1104856095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1003495755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E TACHEVAH DR STE 2W103",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922625748",
"telephone_number": "760-464-0023",
"fax_number": "760-459-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E TACHEVAH DR STE 2W103",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922625748",
"telephone_number": "760-464-0023",
"fax_number": "760-459-3001"
}
],
"practiceLocations": [
{
"address_1": "67770 Ontina Rd",
"address_purpose": "LOCATION",
"city": "Cathedral City",
"state": "CA",
"postal_code": "922345576",
"country_code": "US",
"telephone_number": "337-349-2477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUYNH",
"first_name": "BAO",
"middle_name": "THAI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-07",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A182744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.