Anh-Thu Thi Phung, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A87716 Issued in CA

Practice address

10402 Westminster Ave
Suite 100C
Garden Grove, CA 92843-4861

Phone

(714) 638-1358

NPI assigned

Nov 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Anhthu Phung, MD, Inc.

  • Pediatrics Physician
  • Garden Grove, CA
  • NPI 1033992730
  NPD Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1164591533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 HEATHER HILL RD",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917453721",
            "telephone_number": "626-581-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10402 WESTMINSTER AVE",
            "address_2": "SUITE 100C",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434861",
            "telephone_number": "714-638-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHUNG",
        "first_name": "ANH-THU",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A87716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teve Thongvanh Phommavongsa
• Andrew Phou
• Phu Van Dang, MD & Pauline Suong Thi Dang, MD, a Prof Medical Corp
• Jennie Soi Phui, RDHAP
• Y Phun, MS
• Anne Marie Phung
• Hao My Phung
• Jenny Phung, OTR/L
• Steve Phung, PHARM D
• PHV 2 Rcfe LLC

• Pediatrics Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.