Individual provider Active NPI

Thu-Trang L Phung, M.D.

  • Ophthalmology Physician
  • Oroville, CA
National Provider Identifier
1093764052
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
CA068430 Issued in CA
Practice address
2809 Olive Hwy
Suite 210
Oroville, CA 95966-6131
Phone
(530) 532-8010
Fax
(530) 532-8015
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X CA068430 CA Primary

Addresses

Primary practice location

2809 Olive Hwy
Suite 210
Oroville, CA 95966-6131

Mailing address

2809 Olive Hwy
Suite 210
Oroville, CA 95966-6131
Phone (530) 532-8010

Other identifiers 1

IdentifierTypeStateIssuer
00A684300OtherCAMEDICAL

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
I20051005001197 CA Practitioner - Ophthalmology 4284659582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
East Tennessee State University Quillen College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orohealth Corporation a Non Profit Healthcare SystemGroup PAC ID 4082501192, 126 clinicians

Practice addresses (Care Compare)

2767 Olice Hwy
Oroville, CA 95966-6118

2767 Olive Hwy
Oroville, CA 95966-6118

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.23 of 100Reported as group
Quality
36.36
Promoting interoperability
100
Improvement activities
40
Cost
71.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68430CAMDPharmacist
CA068430CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orohealth Corporation a Non Profit Healthcare System CurrentSince Oct 12, 2009 Accepting new patients
Oroville Hospital Past Accepting new patients

Locations

2809 Olive Hwy
Ste 250
Oroville, CA 95966
Phone (530) 532-7650

900 Oro Dam Blvd E
Oroville, CA 95965
Phone (530) 534-9183

2809 Olive Hwy
Ste 210
Oroville, CA 95966
Phone (530) 532-8010

2981 Olive Hwy
Oroville, CA 95966
Phone (530) 533-4500

2780 Oro Dam Blvd E
Ste 2
Oroville, CA 95966
Phone (530) 533-7727

2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1093764052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 OLIVE HWY",
            "address_2": "SUITE 210",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666131",
            "telephone_number": "530-532-8010",
            "fax_number": "530-532-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 OLIVE HWY",
            "address_2": "SUITE 210",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666131",
            "telephone_number": "530-532-8010",
            "fax_number": "530-532-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHUNG",
        "first_name": "THU-TRANG",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "CA068430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "00A684300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oroville, CA

Sources for this page

Verify at the official NPI Registry.