Thaibinh Phan MD Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

THAIBINH PHAN MD INC

Practice address

10691 Westminster Ave # 100
Garden Grove, CA 92843-4911

Phone

(714) 539-4900

Fax

(714) 539-4902

NPI assigned

Jan 18, 2019

Organization subpart

No

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

Authorized official

Name

Thaibinh Tran Phan, MDNPI 1891957718

Title

Ceo

Phone

(714) 539-4900

Specialties & licenses 1

Addresses

Other names 1

• Thai Binh Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thaibinh Tran Phan, M.D.

  • Adult Medicine Physician
  • Garden Grove, CA
  • NPI 1891957718
  Medicare reassignment NPD Authorized official
• Anh Q. DO, MD

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1205984119
  NPD (past)
• Lanhuong Thi Nguyen, M.D.

  • Family Medicine Physician
  • Garden Grove, CA
  • NPI 1336104264
  NPD (past)
• Nhu Van Truong, MD

  • Family Medicine Physician
  • Garden Grove, CA
  • NPI 1508824368
  NPD (past)

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1215401583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9906 DANDELION AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082030",
            "telephone_number": "714-539-4900",
            "fax_number": "714-539-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10691 WESTMINSTER AVE # 100",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434911",
            "telephone_number": "714-539-4900",
            "fax_number": "714-539-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAIBINH PHAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "THAIBINH",
        "authorized_official_middle_name": "TRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-539-4900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thai Binh Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thai Binh Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Testal Corporation
• Kristin Michelle Testo
• Kimberly Thach, OTR/L
• Katelynn Huong Thai
• Trina Thai, PHARM.D.
• Pendleton Trong Than, PHARM D
• Paul Thang
• Thanh Hang Le , D.D.S. Inc
• Thanh Hang Le,D.D.S.Inc.
• Thanh Minh Le DDS Inc

• 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 Sep 26, 2024; 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.