Individual provider Active NPI

Victor Anh Huynh, DO

  • Psychiatry Physician
  • Walnut Creek, CA
National Provider Identifier
1316472673
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A18750 Issued in CA
Practice address
1910 Olympic Blvd Ste 250
Walnut Creek, CA 94596-5075
Phone
(925) 378-2602
Fax
(925) 378-2609
NPI assigned
Apr 25, 2017
Last updated
Aug 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A18750 CA Primary

Addresses

Primary practice location

1910 Olympic Blvd Ste 250
Walnut Creek, CA 94596-5075

Mailing address

1910 Olympic Blvd Ste 250
Walnut Creek, CA 94596-5075
Phone (925) 378-2602

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210818002466 CA Practitioner - Psychiatry 5496150195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1910 Olympic Blvd
Suite 170
Walnut Creek, CA 94596-5098
Phone (415) 964-5137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A18750CAMDPsychiatry Physician
18750CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Health Solutions a Professional Medical Corporation Psychiatry CurrentSince Sep 15, 2021 Accepting new patients

Locations

1860 El Camino Real
Ste 250
Burlingame, CA 94010
Phone (650) 449-8718

1020 Suncast Ln
Ste 108
El Dorado Hills, CA 95762
Phone (916) 932-0380

3300 Webster St
Ste 402
Oakland, CA 94609
Phone (510) 451-6020

3300 Webster St
Ste 803
Oakland, CA 94609

350 Parnassus Ave
Ste 201
San Francisco, CA 94117
Phone (415) 964-5137

360 Post St
Ste 500
San Francisco, CA 94108
Phone (415) 213-2540

361 3rd St
Ste A
San Rafael, CA 94901
Phone (415) 612-1908

1910 Olympic Blvd
Ste 170
Walnut Creek, CA 94596
Phone (415) 964-5137

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1316472673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 OLYMPIC BLVD STE 250",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965075",
            "telephone_number": "925-378-2602",
            "fax_number": "925-378-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 OLYMPIC BLVD STE 250",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965075",
            "telephone_number": "925-378-2602",
            "fax_number": "925-378-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "VICTOR",
        "middle_name": "ANH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-25",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A18750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.