Individual provider Active NPI

Phong Minh Huynh

  • Physician Assistant
  • Terrytown, LA
National Provider Identifier
1205763539
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2500 Belle Chasse Hwy
Terrytown, LA 70056-7127
Phone
(504) 392-3131
NPI assigned
May 8, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X LA Primary

Addresses

Primary practice location

2500 Belle Chasse Hwy
Terrytown, LA 70056-7127

Mailing address

2005 Brighton PL
Harvey, LA 70058-1415

Other practice location 1

4837 Lapalco Blvd
Marrero, LA 70072-4325
Phone (504) 703-3260

Other names 1

  • Sonny Huynh Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1205763539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 BRIGHTON PL",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700581415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BELLE CHASSE HWY",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700567127",
            "telephone_number": "504-392-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4837 Lapalco Blvd",
            "address_purpose": "LOCATION",
            "city": "Marrero",
            "state": "LA",
            "postal_code": "700724325",
            "country_code": "US",
            "telephone_number": "504-703-3260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "PHONG",
        "middle_name": "MINH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONNY",
            "last_name": "HUYNH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Terrytown, LA

Sources for this page

Verify at the official NPI Registry.