Organization Active NPI

Pacific Family Medicine Clinic Inc

  • Specialist
  • Millbrae, CA
National Provider Identifier
1356723605
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PACIFIC FAMILY MEDICINE CLINIC INC
Practice address
1001 Broadway Ste 302
Millbrae, CA 94030-1978
Phone
(650) 689-5431
NPI assigned
Jun 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Dr. Thanh Huynh, MDNPI 1962463026
Title
MD
Phone
(650) 689-5431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1001 Broadway Ste 302
Millbrae, CA 94030-1978

Mailing address

1001 Broadway
Suite 302
Millbrae, CA 94030-1977
Phone (650) 689-5431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150917003150 CA Part B Supplier - Clinic/Group Practice 9739496076 Receives reassigned benefits from 8 practitioners
Practice locations: Millbrae, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2102544Pacific Family Medicine Clinic1001 Broadway Ste 302, Millbrae, CA 94030Certificate of waiverSep 23, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1356723605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BROADWAY",
            "address_2": "SUITE 302",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940301977",
            "telephone_number": "650-689-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BROADWAY STE 302",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940301978",
            "telephone_number": "650-689-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC FAMILY MEDICINE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "THANH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "650-689-5431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millbrae, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.