DO Jaclynn MD Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A78520 Issued in CA

Legal business name

DO JACLYNN MD INC.

Practice address

8341 Westminster Blvd Ste 101B
Westminster, CA 92683-3306

Phone

(714) 899-9898

Fax

(866) 235-9464

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jaclynn Joanne DO, MDNPI 1366439051

Title

President

Phone

(714) 899-9898

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaclynn J DO, M.D.

  • Family Medicine Physician
  • Garden Grove, CA
  • NPI 1366439051
  Medicare reassignment NPD Authorized official
• Xuyen Kim Huynh, NP

  • Family Nurse Practitioner
  • Garden Grove, CA
  • NPI 1710226139
  Medicare reassignment NPD
• Tien Nguyen, NP

  • Family Nurse Practitioner
  • Westminster, CA
  • NPI 1306320197
  NPD (past)
• Lillian Pham, NP

  • Gerontology Nurse Practitioner
  • Garden Grove, CA
  • NPI 1487051850
  NPD (past)

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1548422108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8341 WESTMINSTER BLVD STE 101B",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833306",
            "telephone_number": "714-899-9898",
            "fax_number": "866-235-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8341 WESTMINSTER BLVD STE 101B",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833306",
            "telephone_number": "714-899-9898",
            "fax_number": "866-235-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DO JACLYNN MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "JACLYNN",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-899-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A78520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perry Le Dinh, DO
• Tony Dinh
• Osralle Diolazo
• Diversified Counseling Services, Inc.
• DNX Medical Inc (Anhtuan Nguyen M.D.)
• Amy DO, NP
• Anhthu DO
• Cuong-Dung Trong DO, M.D.
• Duc Hong DO, DDS
• Huy Huu DO, D.D.S

• Family Medicine Physician in Westminster, CA
• Providers in Westminster, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.