Individual provider Active NPI

Anthony Cruz Huynh, OTR/L

  • Occupational Therapist
  • Fremont, CA
National Provider Identifier
1477345122
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
27763 Issued in CA
Practice address
39180 Farwell Dr Ste 231B
Fremont, CA 94538-1000
Phone
(510) 350-3030
NPI assigned
May 20, 2025
Last updated
May 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 27763 CA Primary

Addresses

Primary practice location

39180 Farwell Dr Ste 231B
Fremont, CA 94538-1000

Mailing address

2804 Dune Cir
Hayward, CA 94545-1179
Phone (510) 516-8486

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250701002070 CA Practitioner - Occupational Therapist in Private Practice 9537672720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Basil R Besh MD IncGroup PAC ID 1658363965, 4 clinicians

Practice addresses (Care Compare)

39180 Farwell Dr
Suite 211
Fremont, CA 94538-1015
Phone (510) 857-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27763CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Basil R Besh MD Inc CurrentSince May 19, 2025 Accepting new patients
Precision Surgicenter LLC PastSince May 19, 2025 Accepting new patients

Locations

39180 Farwell Dr
Ste 211
Fremont, CA 94538
Phone (510) 585-2545

39180 Farwell Dr
Ste 231
Fremont, CA 94538
Phone (510) 585-2545

39180 Farwell Dr
Ste 231B
Fremont, CA 94538
Phone (510) 350-3030

Organizations & group practices 2

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": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1477345122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 DUNE CIR",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451179",
            "telephone_number": "510-516-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39180 FARWELL DR STE 231B",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381000",
            "telephone_number": "510-350-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "ANTHONY",
        "middle_name": "CRUZ",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "27763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.