Charles Huynh, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

135 Trellis LN
Escondido, CA 92026-2078

Phone

(760) 443-5317

NPI assigned

May 23, 2017

Reactivated

Sep 30, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rakhesh Guttikonda Medical IncGroup PAC ID 9032330691, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: charles.huynh.1@24997.direct.athenahealth.com
• Direct secure messaging: charles.huynh.1@9170.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rakhesh Guttikonda Medical Inc

  dba HealMedO2

  • Plastic and Reconstructive Surgery Physician
  • National City, CA
  • NPI 1386047660
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1265960165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 TRELLIS LN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920262078",
            "telephone_number": "760-443-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 TRELLIS LN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920262078",
            "telephone_number": "760-443-5317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4910 Directors Pl Ste 350",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921213834",
            "country_code": "US",
            "telephone_number": "858-571-9500 x1003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "CHARLES",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-23",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "deactivation_date": "2020-09-21",
        "reactivation_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZX2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": null,
            "license": "10-0816",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riwal Hussein
• Bruce Towne Hutchinson, DPM
• Kevin C. Hutton, M.D.
• Huy Q Phun MD Inc
• Bao Huynh
• Hillary Huynh
• Kimberly Thuc Huynh, AGNP
• Sheila Hwe
• Tori Hylton
• Hyperbaric Centers of Southern California

• Physician Assistant in Escondido, CA
• Providers in Escondido, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.