Individual provider Active NPI

Dat Tan Huynh, M.D.

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1033298963
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A500710 Issued in CA
Practice address
1661 Burdette Dr
Suite N
San Jose, CA 95121-1613
Phone
(408) 270-4582
NPI assigned
Nov 2, 2006
Last updated
Aug 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A500710 CA Primary

Addresses

Primary practice location

1661 Burdette Dr
Suite N
San Jose, CA 95121-1613

Mailing address

1661 Burdette Drive,
Suite N
San Jose, CA 95121
Phone (408) 270-4582

Other identifiers 1

IdentifierTypeStateIssuer
00A500710MedicaidCA

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
I20111216000736 CA Practitioner - Internal Medicine 0840465043 Reassigns benefits to 1 organization
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Health Medical FoundationGroup PAC ID 3870907843, 12 clinicians

Practice addresses (Care Compare)

227 N Jackson Ave
Suite 235
San Jose, CA 95116-1635
Phone (408) 279-2377

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50071CAMDMarriage & Family Therapist
A500710CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Health Medical Foundation Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
One Health Primary Care LLC Internal Medicine Past Accepting new patients

Locations

2611 Senter Rd
Ste 238
San Jose, CA 95111
Phone (408) 281-3889

1661 Burdette Dr
Ste N
San Jose, CA 95121
Phone (408) 270-4582

227 N Jackson Ave
Ste 235
San Jose, CA 95116
Phone (408) 254-9192

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1033298963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 BURDETTE DRIVE,",
            "address_2": "SUITE N",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95121",
            "telephone_number": "408-270-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 BURDETTE DR",
            "address_2": "SUITE N",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211613",
            "telephone_number": "408-270-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "DAT",
        "middle_name": "TAN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A500710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A500710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.