Individual provider Active NPI

Anthony Vu Huynh, MD

  • Dermatology Physician
  • El Centro, CA
National Provider Identifier
1497766364
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A69919 Issued in CA
Practice address
718 S 4TH St
El Centro, CA 92243-3319
Phone
(760) 337-8500
Fax
(760) 337-8572
NPI assigned
Aug 10, 2006
Last updated
Nov 9, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A69919 CA Primary

Addresses

Primary practice location

718 S 4TH St
El Centro, CA 92243-3319

Mailing address

718 S 4TH St
El Centro, CA 92243-3319
Phone (760) 337-8500

Other identifiers 1

IdentifierTypeStateIssuer
00A699190MedicaidCA

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
I20040928001275 CA Practitioner - Dermatology 8325930753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anthony Huynh Medical Group IncGroup PAC ID 4082613161, 5 clinicians

Practice addresses (Care Compare)

1334 N Imperial Ave
El Centro, CA 92243-1313
Phone (760) 337-8500

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision90
Removal of skin lesions4756
Removal or shaving of skin growth11
Skin biopsy976

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A69919CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Dermatology and Cosmetic Surgery Medical Group, Inc. Dermatology CurrentSince Nov 1, 2002 Accepting new patients

Locations

718 S 4th St
El Centro, CA 92243
Phone (760) 337-8500

6367 Alvarado Ct
Ste 107
San Diego, CA 92120
Phone (619) 287-1822

Interoperability endpoints

  • Direct secure messaging: ahuynh@elcentrodermatology.emadirect.md

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1497766364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 S 4TH ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433319",
            "telephone_number": "760-337-8500",
            "fax_number": "760-337-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 S 4TH ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433319",
            "telephone_number": "760-337-8500",
            "fax_number": "760-337-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "ANTHONY",
        "middle_name": "VU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A69919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A699190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.