Individual provider Active NPI

Hung Dinh, PA

  • Physician Assistant
  • Pomona, CA
National Provider Identifier
1477280279
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA62432 Issued in CA
Practice address
2895 N Towne Ave
Pomona, CA 91767-2009
Phone
(909) 982-2719
NPI assigned
Aug 2, 2022
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA62432 CA Primary

Addresses

Primary practice location

2895 N Towne Ave
Pomona, CA 91767-2009

Mailing address

1124 N Campus Ave
Upland, CA 91786-3335
Phone (909) 204-8824

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
I20251010003098 CA Practitioner - Physician Assistant 0941707202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Neurology Group IncGroup PAC ID 1052544152, 19 clinicians

Practice addresses (Care Compare)

2895 N Towne Ave
Pomona, CA 91767-2009
Phone (909) 267-7495

630 N 13TH Ave
Suite B
Upland, CA 91786-4978
Phone (909) 982-2719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA62432CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Neurology Group Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

2895 N Towne Ave
Pomona, CA 91767
Phone (909) 267-7495

630 N 13th Ave
Ste B
Upland, CA 91786
Phone (909) 294-2122

Interoperability endpoints

  • Direct secure messaging: hung.dinh.1@29399.direct.athenahealth.com

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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1477280279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 N CAMPUS AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863335",
            "telephone_number": "909-204-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 N TOWNE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672009",
            "telephone_number": "909-982-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINH",
        "first_name": "HUNG",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-02",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA62432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.