Thoa Trong DO MD Prof. Corp.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A43520 Issued in CA

Legal business name

THOA TRONG DO MD PROF. CORP.

Practice address

14350 Brookhurst St
Garden Grove, CA 92843-4608

Phone

(714) 839-0294

Fax

(714) 839-1082

NPI assigned

Oct 1, 2010

Last updated

Oct 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thoa Trong DO, MDNPI 1982719597

Title

President

Phone

(714) 839-0294

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Thoa Trong DO, MD

  • Family Medicine Physician
  • Garden Grove, CA
  • NPI 1982719597
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1114236635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14350 BROOKHURST ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434608",
            "telephone_number": "714-839-0294",
            "fax_number": "714-839-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 BROOKHURST ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434608",
            "telephone_number": "714-839-0294",
            "fax_number": "714-839-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOA TRONG DO MD PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "THOA",
        "authorized_official_middle_name": "TRONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-839-0294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A43520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A435200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thi M Nguyen a Professional Dental Co
• Thi Minh Nguyen DMD Inc.
• Thien an Medical Center, Inc
• Thierry Imaging, PC
• Huy Thinh
• Thomas Hearing Aid Service
• Thomas Ho MD Inc
• Thomas House Temporary Shelter (Thomas House Family Shelter)
• Beth Thomas
• Jason Colin Thomas

• Primary Care Clinic/Center in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.