Individual provider Active NPI

Bao Thai Huynh

  • Family Medicine Physician
  • Palm Springs, CA
National Provider Identifier
1003495755
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A182744 Issued in CA
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

Updated by the provider on May 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240827002318 CA Practitioner - Family Practice 2466991021 Reassigns benefits to 2 organizations

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
Desert Physicians Medical Group HealthGroup PAC ID 0042758443, 15 clinicians

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 Hospital, Palm Springs, CA, CCN 050243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A182744CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health CurrentSince Mar 29, 2025 Accepting new patients
St. Johns Community Health CurrentSince Mar 29, 2025 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 CurrentSince Jul 15, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Jul 15, 2024 Accepting new patients
Desert Physicians Medical Group Health Family Medicine CurrentSince Nov 19, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.