NPIMap

Organization Active NPI

Dieumy Michelle Thai, MD, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Westminster, CA
National Provider Identifier
1073625232
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
G644010 Issued in CA
Legal business name
DIEUMY MICHELLE THAI, MD, INC.
Practice address
16401 Magnolia St
Westminster, CA 92683-7827
Phone
(714) 596-4288
Fax
(714) 596-2388
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Dr. Michelle Thai, MD
Title
Medical Director
Phone
(714) 596-4288

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X G644010 CA
Spinal Cord Injury Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P0004X G644010 CA
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X G644010 CA Primary

Addresses

Primary practice location

16401 Magnolia St
Westminster, CA 92683-7827

Mailing address

16401 Magnolia St
Westminster, CA 92683-7827
Phone (714) 596-4288

Other identifiers 1

IdentifierTypeStateIssuer
00G644010MedicaidCA

Other names 1

  • TOTAL REHAB & HEALTH CENTER Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101220000487 CA Part B Supplier - Clinic/Group Practice 8123216041 Receives reassigned benefits from 5 practitioners
Practice locations: Fullerton, CA; Yorba Linda, CA; Westminster, CA; Ontario, CA; Newport Beach, CA; Brea, CA

National Provider Directory

National Provider Directory

Locations

2767 E Imperial Hwy
#1
Brea, CA 92821

16401 Magnolia St
Westminster, CA 92683
Phone 71459642887130

Practitioners & affiliated clinicians

Practitioners 6

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1073625232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16401 MAGNOLIA ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837827",
            "telephone_number": "714-596-4288",
            "fax_number": "714-596-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16401 MAGNOLIA ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837827",
            "telephone_number": "714-596-4288",
            "fax_number": "714-596-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEUMY MICHELLE THAI, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-596-4288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G644010",
            "primary": false
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "CA",
            "license": "G644010",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "G644010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G644010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOTAL REHAB & HEALTH CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 21, 2008; 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.