Individual provider Active NPI

Minh Quy Hoang, MD

  • Pediatrics Physician
  • Westminster, CA
National Provider Identifier
1316974561
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G80102 Issued in CA
Practice address
10362 Bolsa Ave
Bolsa Medical Group
Westminster, CA 92683-6763
Phone
(714) 531-2091
Fax
(714) 531-1403
NPI assigned
Jun 26, 2006
Last updated
Dec 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X G80102 CA
Pediatrics Physician 208000000X G80102 CA Primary

Addresses

Primary practice location

10362 Bolsa Ave
Bolsa Medical Group
Westminster, CA 92683-6763

Mailing address

10362 Bolsa Ave
Bolsa Medical Group
Westminster, CA 92683-6763
Phone (714) 531-2091

Other identifiers 1

IdentifierTypeStateIssuer
00G801020MedicaidCA

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
I20040908001275 CA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3375519515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of California, Geffen School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bolsa Medical GroupGroup PAC ID 2769458264, 14 clinicians
County of Los AngelesGroup PAC ID 1850296534, 395 clinicians

Practice addresses (Care Compare)

10362 Bolsa Ave
Westminster, CA 92683-6763
Phone (714) 531-2091

2829 S Grand Ave
Los Angeles, CA 90007-3304
Phone (213) 699-7013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G80102CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Jun 24, 2012 Accepting new patients
County of Los Angeles CurrentSince Jun 24, 2012 Accepting new patients
County of Los Angeles Current Accepting new patients
Bolsa Medical Group Pediatrics CurrentSince Mar 3, 2016 Accepting new patients
Integrative Medical Center Pediatrics Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

2829 S Grand Ave
Los Angeles, CA 90007
Phone (213) 699-7000

1321 E Warner Ave
Santa Ana, CA 92705
Phone (714) 541-9855

10362 Bolsa Ave
Westminster, CA 92683
Phone (714) 531-2091

10362 Bolsa Ave
Ste 110
Westminster, CA 92683
Phone (714) 531-2091

10362 Bolsa Ave
Ste 211
Westminster, CA 92683

10362 Bolsa Ave
Ste 211212
Westminster, CA 92683

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: minh.hoang@bolsamg.directbygreenway.com

Organizations & group practices 6

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1316974561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10362 BOLSA AVE",
            "address_2": "BOLSA MEDICAL GROUP",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836763",
            "telephone_number": "714-531-2091",
            "fax_number": "714-531-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10362 BOLSA AVE",
            "address_2": "BOLSA MEDICAL GROUP",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836763",
            "telephone_number": "714-531-2091",
            "fax_number": "714-531-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "MINH",
        "middle_name": "QUY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CA",
            "license": "G80102",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G80102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G801020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.