Organization Active NPI

Anhthu Phung, MD, Inc.

  • Pediatrics Physician
  • Garden Grove, CA
National Provider Identifier
1033992730
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ANHTHU PHUNG, MD, INC.
Practice address
10402 Westminster Ave Ste 100C
Garden Grove, CA 92843-4862
Phone
(714) 638-1358
NPI assigned
Aug 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Dr. Anhthu T Phung, MDNPI 1164591533
Title
Ceo
Phone
(714) 638-1358

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

10402 Westminster Ave Ste 100C
Garden Grove, CA 92843-4862

Mailing address

10402 Westminster Ave Ste 100C
Garden Grove, CA 92843-4862
Phone (714) 638-1358

Other names 1

  • Anhthu Phung, MD, INC. Former legal business name

National Provider Directory

National Provider Directory

Locations

10402 Westminster Ave
Ste 100C
Garden Grove, CA 92843
Phone (714) 638-1358

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1033992730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10402 WESTMINSTER AVE STE 100C",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434862",
            "telephone_number": "714-638-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10402 WESTMINSTER AVE STE 100C",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434862",
            "telephone_number": "714-638-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANHTHU PHUNG, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "PHUNG",
        "authorized_official_first_name": "ANHTHU",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-638-1358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anhthu Phung, MD, INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.