Active NPI
Son Huynh, PA-C
- Surgical Physician Assistant
- Fountain Valley, CA
National Provider Identifier
1588115141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA53928
- Practice address
- 11160 Warner Ave Ste 311
Fountain Valley, CA 92708-4055 - Phone
- (714) 850-7300
- NPI assigned
- Oct 19, 2016
- Last updated
- Jan 16, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA53928 | CA | Primary |
Addresses
Primary practice location
11160 Warner Ave Ste 311
Fountain Valley, CA 92708-4055
Mailing address
11160 Warner Ave Ste 311
Fountain Valley, CA 92708-4055
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: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 78.03 of 100
- Quality
- 78.11
- Improvement activities
- 40
- Cost
- 33.57
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53928 | CA | MD | Dentist |
| PA53928 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hope Podiatry Group Inc. | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Surgery Physician
- Newhall, CA
- NPI 1598576100
-
- Surgical Physician Assistant
- Alhambra, CA
- NPI 1235333972
-
- Internal Medicine Physician
- North Hollywood, CA
- NPI 1912706219
-
dba La Casa Wound Specialist
- Surgical Physician Assistant
- Riverside, CA
- NPI 1023871779
-
- Surgery Physician
- Woodland Hills, CA
- NPI 1578217451
-
- Foot & Ankle Surgery Podiatrist
- Alhambra, CA
- NPI 1447670955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484524800000",
"number": "1588115141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11160 WARNER AVE STE 311",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11160 WARNER AVE STE 311",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084055",
"telephone_number": "714-850-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "SON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-19",
"last_updated": "2017-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA53928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.