Phandinh Clinic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PHANDINH CLINIC LLC

Doing business as

Phandinh Clinic

Practice address

330 SW 43Rd St Ste L
Renton, WA 98057-4900

Phone

(425) 243-2349

NPI assigned

Feb 22, 2016

Last updated

Oct 19, 2023By 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

Kimberly Khuu

Title

Assistant Office Manager

Phone

(425) 324-4745

Specialties & licenses 2

Addresses

Other names 1

• PHANDINH CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

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, and the practitioner matching its NPPES authorized official.

• Hong-Nhung Thi DO, ARNP

  • Family Nurse Practitioner
  • Seattle, WA
  • NPI 1003309683
  Medicare reassignment Care Compare group NPD
• Janice Mai Ngoc Hoang, PA-C

  • Physician Assistant
  • Garden City, KS
  • NPI 1598283707

  WA

  Medicare reassignment Care Compare group
• Duy Trinh, NP

  • Family Nurse Practitioner
  • Bonney Lake, WA
  • NPI 1396299616
  Medicare reassignment NPD
• Tuyethong Bui

  • Phlebology Physician
  • Renton, WA
  • NPI 1093294175
  NPD

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1225497969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SW 43RD ST STE L",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574900",
            "telephone_number": "425-243-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW 43RD ST STE L",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574900",
            "telephone_number": "425-243-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHANDINH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "KHUU",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "ASSISTANT OFFICE MANAGER",
        "authorized_official_telephone_number": "425-324-4745"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "NT60616795",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHANDINH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ai Thi Phan-Tang, PHARMACIST
• Helen Phan, PA-C
• Henry Phan
• Kevin Phan
• Linh Phan
• Philip N. Hodge, DDS, PS
• Phillip a Medina MD Inc PS
• Carrie Phillips, RN
• Christopher Burton Phillips, M.D.
• David Phillips, LMP

• Primary Care Clinic/Center in Renton, WA
• Providers in Renton, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.