Individual provider Active NPI

Tu Hoang, M.D.

  • Internal Medicine Physician
  • San Bernardino, CA
National Provider Identifier
1588696223
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A79962 Issued in CA
Practice address
1881 Commercenter E
Suite 120
San Bernardino, CA 92408-3456
Phone
(909) 388-9222
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A79962 CA Primary

Addresses

Primary practice location

1881 Commercenter E
Suite 120
San Bernardino, CA 92408-3456

Mailing address

17118 First Light LN
Riverside, CA 92503-8708
Phone (909) 883-2394

Other identifiers 2

IdentifierTypeStateIssuer
P00310658OtherRAILROAD MEDICARE PIN
00A799620MedicaidCA

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
I20060119000611 CA Practitioner - Internal Medicine 9537183330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1881 Commercenter E
Suite 120
San Bernardino, CA 92408-3442
Phone (909) 890-1880

Hospital & facility affiliations

  • St Bernardine Medical Center Hospital, San Bernardino, CA, CCN 050129
  • Community Hospital of San Bernardino Hospital, San Bernardino, CA, CCN 050089
  • Loma Linda University Medical Center Hospital, Loma Linda, CA, CCN 050327
  • Ballard Rehabilitation Hospital Inpatient rehabilitation facility, San Bernardino, CA, CCN 053037
  • Kindred Hospital Ontario Long-term care hospital, Ontario, CA, CCN 052037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79962CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tu Hoang MD a Professional Medical Corporation Internal Medicine CurrentSince Feb 11, 2006 Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Blessed Hope Hospice, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1881 Commercenter E
Ste 120
Sn Bernrdno, CA 92408
Phone (909) 883-2394

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1588696223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17118 FIRST LIGHT LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925038708",
            "telephone_number": "909-883-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 COMMERCENTER E",
            "address_2": "SUITE 120",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083456",
            "telephone_number": "909-388-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "TU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A79962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00310658",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A799620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.