Organization Active NPI

Trang Thuy Trinh, MD, PA

Doing business as Mason Park Medical Clinic

  • Family Medicine Physician
  • Katy, TX
National Provider Identifier
1053592949
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J6776 Issued in TX
Legal business name
TRANG THUY TRINH, MD, PA
Doing business as
Mason Park Medical Clinic
Practice address
21770 Kingsland Blvd
Katy, TX 77450-2513
Phone
(281) 646-0740
Fax
(281) 646-0743
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Quyen Trinh, DONPI 1033205224
Title
Ceo
Phone
(281) 646-0740

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 J6776 TX Primary

Addresses

Primary practice location

21770 Kingsland Blvd
Katy, TX 77450-2513

Mailing address

21770 Kingsland Blvd
Katy, TX 77450-2513
Phone (281) 646-0740

Other identifiers 2

IdentifierTypeStateIssuer
140922901MedicaidTX
130856101MedicaidTX

Other names 1

  • Mason Park Medical Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190919000286 TX Part B Supplier - Clinic/Group Practice 0345303095 Receives reassigned benefits from 1 practitioner
Practice locations: Katy, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0923221Mason Park Medical Clinic21770 Kingsland, Katy, TX 77450Provider-performed microscopyDec 17, 2026

National Provider Directory

National Provider Directory

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": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1053592949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21770 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502513",
            "telephone_number": "281-646-0740",
            "fax_number": "281-646-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21770 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502513",
            "telephone_number": "281-646-0740",
            "fax_number": "281-646-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANG THUY TRINH, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "TRINH",
        "authorized_official_first_name": "QUYEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-646-0740",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J6776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140922901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130856101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mason Park Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.