Active NPI
Toquynh Dinh Kieu, M.D.
- Pediatrics Physician
- Fountain Valley, CA
National Provider Identifier
1093895674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A31746
- Practice address
- 11100 Warner Ave
Suite # 116
Fountain Valley, CA 92708-7506 - Phone
- (714) 641-0850
- Fax
- (714) 434-6158
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A31746 | CA | Primary |
Addresses
Primary practice location
11100 Warner Ave
Suite # 116
Fountain Valley, CA 92708-7506
Mailing address
11100 Warner Ave
Suite # 116
Fountain Valley, CA 92708-7506
Phone (714) 641-0850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A317460 | Other | CA | MEDI-CAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A31746 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VM Medical Group | Pediatrics | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IDGIBD
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093895674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11100 WARNER AVE",
"address_2": "SUITE # 116",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087506",
"telephone_number": "714-641-0850",
"fax_number": "714-434-6158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 WARNER AVE",
"address_2": "SUITE # 116",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087506",
"telephone_number": "714-641-0850",
"fax_number": "714-434-6158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEU",
"first_name": "TOQUYNH",
"middle_name": "DINH",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A31746",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "00A317460",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.