Individual provider Active NPI

Thu Hoa Victoria Van, M.D.

  • General Practice Physician
  • Westminster, CA
National Provider Identifier
1477510568
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G81299 Issued in CA
Practice address
15606 Brookhurst St Ste B
Westminster, CA 92683
Phone
(714) 531-0000
Fax
(714) 531-1006
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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 G81299 CA Primary

Addresses

Primary practice location

15606 Brookhurst St Ste B
Westminster, CA 92683

Mailing address

15606 Brookhurst St
Ste B
Westminster, CA 92683-7582
Phone (714) 531-0000

Other identifiers 1

IdentifierTypeStateIssuer
00126018MedicaidMS

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
I20180927000673 CA Practitioner - General Practice 4789586777 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G81299CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Ba Ngo MD Inc CurrentSince Jul 25, 2018 Accepting new patients
Family Medical Center, P.a. of Biloxi Past Accepting new patients

Locations

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

9972 Westminster Ave
Ste 108
Garden Grove, CA 92844
Phone (714) 531-0000

15606 Brookhurst St
Ste B
Westminster, CA 92683
Phone (714) 531-0000

Interoperability endpoints

  • Direct secure messaging: vvan136786@direct.memorialcare.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1477510568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15606 BROOKHURST ST",
            "address_2": "STE B",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837582",
            "telephone_number": "714-531-0000",
            "fax_number": "714-531-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15606 BROOKHURST ST STE B",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "92683",
            "telephone_number": "714-531-0000",
            "fax_number": "714-531-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "THU HOA",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G81299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126018",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.