Organization Active NPI

THVC Medical Group of Ca Inc

  • Family Medicine Physician
  • Pleasanton, CA
National Provider Identifier
1487313847
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THVC MEDICAL GROUP OF CA INC
Practice address
6701 Koll Center Pkwy Ste 250
Pleasanton, CA 94566-8062
Phone
(844) 301-0093
NPI assigned
Dec 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Aiden Feng, MDNPI 1265888994
Title
Owner/President
Phone
(844) 301-0093

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

6701 Koll Center Pkwy Ste 250
Pleasanton, CA 94566-8062

Mailing address

157 W 18TH St FL 2
New York, NY 10011-4163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TN, MD, TX, FL, OK, AZ, KY, PA9 enrollments

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
O20220301000465 SC Part B Supplier - Clinic/Group Practice 0143614511 Receives reassigned benefits from 1 practitioner
Practice locations: Myrtle Beach, SC
O20220304000773 TN Part B Supplier - Clinic/Group Practice 0143614511 Receives reassigned benefits from 3 practitioners
Practice locations: Chattanooga, TN; Franklin, TN; Lenoir City, TN
O20220309003162 MD Part B Supplier - Clinic/Group Practice 0143614511 Receives reassigned benefits from 1 practitioner
Practice locations: Berlin, MD
O20220311000095 TX Part B Supplier - Clinic/Group Practice 0143614511 Receives reassigned benefits from 2 practitioners
Practice locations: Cypress, TX; Temple, TX
O20220324001100 FL Part B Supplier - Clinic/Group Practice 0143614511 Receives reassigned benefits from 4 practitioners
Practice locations: Orlando, FL; Palm Coast, FL; Miami, FL
O20220509000543 OK Part B Supplier - Clinic/Group Practice 0143614511 Receives reassigned benefits from 2 practitioners
Practice locations: Tulsa, OK; Woodward, OK
O20230810004006 AZ Part B Supplier - Clinic/Group Practice 0143614511 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ
O20230817000891 KY Part B Supplier - Clinic/Group Practice 0143614511 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY
O20260323003802 PA Part B Supplier - Clinic/Group Practice 0143614511 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1487313847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 W 18TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 KOLL CENTER PKWY STE 250",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945668062",
            "telephone_number": "844-301-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THVC MEDICAL GROUP OF CA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "FENG",
        "authorized_official_first_name": "AIDEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "844-301-0093",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.