Individual provider Active NPI

Thomas Hoan Dinh, D.P.T.

  • Physical Therapist
  • Costa Mesa, CA
National Provider Identifier
1124486311
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
43286 Issued in CA
Practice address
2755 Bristol St Ste 130
Costa Mesa, CA 92626-5985
Phone
(714) 966-2950
Fax
(714) 557-2487
NPI assigned
Feb 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 43286 CA Primary

Addresses

Primary practice location

2755 Bristol St Ste 130
Costa Mesa, CA 92626-5985

Mailing address

4482 Barranca Pkwy Ste 195
Irvine, CA 92604-4706
Phone (949) 679-3337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160314000620 CA Practitioner - Physical Therapist in Private Practice 9638475932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Western University of Health Sciences College of Dental Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Physical Therapy IncGroup PAC ID 9234297771, 27 clinicians

Practice addresses (Care Compare)

2755 Bristol St
Suite 130
Costa Mesa, CA 92626-5985
Phone (714) 966-2950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43286CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Physical Therapy, Inc. Physical Therapist CurrentSince Feb 1, 2016 Accepting new patients

Locations

2755 Bristol St
Ste 130
Costa Mesa, CA 92626
Phone (714) 966-2950

4482 Barranca Pkwy
Ste 195
Irvine, CA 92604
Phone (949) 679-3337

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1124486311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4482 BARRANCA PKWY STE 195",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044706",
            "telephone_number": "949-679-3337",
            "fax_number": "949-679-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 BRISTOL ST STE 130",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265985",
            "telephone_number": "714-966-2950",
            "fax_number": "714-557-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINH",
        "first_name": "THOMAS",
        "middle_name": "HOAN",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.