Individual provider Active NPI

Tracy Huynh, FNP

  • Family Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1275911075
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95001382 Issued in CA
Practice address
2740 S Bristol St
#208
Santa Ana, CA 92704-6209
Phone
(714) 979-5734
NPI assigned
May 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95001382 CA Primary

Addresses

Primary practice location

2740 S Bristol St
#208
Santa Ana, CA 92704-6209

Mailing address

2740 S Bristol St
#208
Santa Ana, CA 92704-6209
Phone (714) 979-5734

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150914002099 CA Practitioner - Nurse Practitioner 6002123759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ajay G Meka MD IncGroup PAC ID 0244129963, 13 clinicians

Practice addresses (Care Compare)

2740 S Bristol St
Suite 208
Santa Ana, CA 92704-6233
Phone (714) 979-5734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95001382CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amistad Multi Specialty Medical Group Inc. PastSince Aug 6, 2015 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1275911075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 S BRISTOL ST",
            "address_2": "#208",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046209",
            "telephone_number": "714-979-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 S BRISTOL ST",
            "address_2": "#208",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046209",
            "telephone_number": "714-979-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "TRACY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.