Individual provider Active NPI

Them Huynh, M.D.

  • General Practice Physician
  • San Jose, CA
National Provider Identifier
1467550608
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A38341 Issued in CA
Practice address
1855 Alum Rock Ave Ste C
San Jose, CA 95116-1398
Phone
(408) 254-7524
Fax
(408) 254-7526
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A38341 CA Primary

Addresses

Primary practice location

1855 Alum Rock Ave Ste C
San Jose, CA 95116-1398

Mailing address

1855 Alum Rock Ave Ste C
San Jose, CA 95116-1398
Phone (408) 254-7524

Other identifiers 1

IdentifierTypeStateIssuer
A38341MedicaidCA

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
I20100920001207 CA Practitioner - General Practice 5294850798

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A38341CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J Tran Family Care, Inc. PastSince Nov 6, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1467550608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 ALUM ROCK AVE STE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161398",
            "telephone_number": "408-254-7524",
            "fax_number": "408-254-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 ALUM ROCK AVE STE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161398",
            "telephone_number": "408-254-7524",
            "fax_number": "408-254-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "THEM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A38341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A38341",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.