Nhan Hoa Comprenesive Health Care Clinic Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Garden Grove, CA
NPI 1497889158 · NPPES record last updated May 12, 2020
Key facts
- NPI
- 1497889158
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- 060000324 (CA)
- Legal business name
- NHAN HOA COMPRENESIVE HEALTH CARE CLINIC INC.
- Practice address
- 7761 Garden Grove Blvd.
Garden Grove, CA 92841-4200 - Phone
- (714) 898-8888
- Fax
- (714) 901-7580
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Jenny Quynh Nguyen
- Title
- Chief Executive Officer
- Phone
- (714) 898-8888
Owners & managing parties with NPI records 2
-
Nam Xuan Nguyen, MD
-
Tuan Xuan Nguyen, MD
Other NPIs with the same Medicare PAC ID 1
Practitioners 16
-
Tinh Tran, MD
-
Trang Thuy Lam, MD
-
Peter Chanh Tran, PA-C
-
Hung Q Luu Tran, MD
-
Alice Madani, MD
-
Dai Pham, M.D.
-
Hung Quoc Pham, LCSW
-
Douglas H. Phan, M.D.
-
Bich Tram Ngoc DO, PA-C
-
Connery Lee, FNP
-
Mai Thao C Nguyen, PA-C
-
Thomas That Ton, M.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
Federally qualified health center certification: CCN 751065
- Legal name
- NHAN HOA COMPREHENSIVE HEALTH CARE CLINIC INC.
- Doing business as
- NHAN HOA COMPREHENSIVE HEALTH CARE CLINIC, INC.
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Apr 22, 2014
- Last certification
- Apr 22, 2014
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 19, 1992 in CA
- Enrollment address
- 7761 Garden Grove Blvd
Garden Grove, CA 92841-4200
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Jenny Nguyen |
Corporate Officer |
Oct 15, 2018 | 100% |
| Operational/Managerial Control |
Oct 15, 2018 | 100% | |
| Duc Hong Vuong |
Corporate Director |
Jan 1, 1993 | 24% |
| Khang Bao |
Corporate Director |
Sep 24, 2020 | 1% |
| Stacey OT Le |
Corporate Director |
Nov 26, 2020 | 24% |
| Thanh Tam Tran |
W-2 Managing Employee |
Sep 12, 2016 | 1% |
| Kim Phuong Nguyen |
Corporate Director |
Oct 29, 2020 | 1% |
| Dung H Nguyen |
W-2 Managing Employee |
Jun 1, 2005 | 1% |
| Tuan Xuan Nguyen |
Corporate Director |
Nov 29, 2019 | 24% |
| Nam X Nguyen |
Corporate Director |
Nov 26, 2020 | 24% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110531000061 | CA | Part B Supplier - Clinic/Group Practice | 0446273882 |
Receives reassigned benefits from 16 practitioners Practice locations: Garden Grove, CA |
| O20140421001161 | CA | Part a Provider - Federally Qualified Health Center (FQHC) | 0446273882 | Practice locations: Garden Grove, CA |
National Provider Directory
- Medicare enrollment (NPD)
- No
Locations
7761 Garden Grove Blvd
Garden Grove, CA 92841
Phone (714) 898-8888
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 060000324 | CA | |
| Federally Qualified Health Center (FQHC) | 261QF0400X | 060000324 | CA | Yes |
| Health Maintenance Organization | 302R00000X | 060000324 | CA |
Addresses
Primary practice location
7761 Garden Grove Blvd.
Garden Grove, CA 92841-4200
Mailing address
7761 Garden Grove Blvd.
Garden Grove, CA 92841-4200
Phone (714) 898-8888
Other names
- Nhan Hoa Comprehensive Health Care Clinic Inc.
Other providers in Garden Grove, CA
- Nhan Ai Medical Group, Inc
- Nhan Hoa Comprehensive Health Care Clinic
- Nhan Hoa Comprehensive Health Care Clinic
- Nhan Hoa Comprehensive Health Care Clinic Inc
- Nhan Hoa Comprehensive Healthcare Clinic
- Nhan Hoa Pharmacy
- Nhan Xuan Nguyen,M.D. Inc.
- Nhu Van Truong MD a Medical Corporation
- Bryce Nichols
- Michael David Nichols
All providers in Garden Grove, CA · Federally Qualified Health Center (FQHC) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.