Organization Active NPI

TCT Care Inc

  • Family Medicine Physician
  • Westminster, CA
National Provider Identifier
1023767589
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TCT CARE INC
Practice address
9009 McFadden Ave
Westminster, CA 92683-6408
Phone
(909) 838-7061
NPI assigned
Mar 22, 2022
Last updated
Jun 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Hao Thai, M.D.NPI 1194058255
Title
President
Phone
(909) 838-7061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9009 McFadden Ave
Westminster, CA 92683-6408

Mailing address

16027 Brookhurst St # I-236
Fountain Valley, CA 92708-1551

Other identifiers 1

IdentifierTypeStateIssuer
A106695OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220407001418 CA Part B Supplier - Clinic/Group Practice 4981090578 Receives reassigned benefits from 1 practitioner
Practice locations: Westminster, CA

National Provider Directory

National Provider Directory

Locations

16027 Brookhurst St
#I236
Fountain Valley, CA 92708

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1023767589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16027 BROOKHURST ST # I-236",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 MCFADDEN AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836408",
            "telephone_number": "909-838-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "HAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-838-7061",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A106695",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.