Organization Active NPI

TND Healthcare Corp

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Lancaster, CA
National Provider Identifier
1609690940
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
Legal business name
TND HEALTHCARE CORP
Practice address
43700 17TH St W Ste 202
Lancaster, CA 93534-4661
Phone
(949) 624-7171
Fax
(661) 802-7954
NPI assigned
Nov 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Thai Van Ngo
Title
Ceo
Phone
(323) 610-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0500X Primary

Addresses

Primary practice location

43700 17TH St W Ste 202
Lancaster, CA 93534-4661

Mailing address

43700 17TH St W Ste 202
Lancaster, CA 93534-4661
Phone (949) 624-7171

Other practice location 1

27462 Portola Pkwy Ste 100
Foothill Ranch, CA 92610-2838
Phone (949) 624-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250610001969 CA Part B Supplier - Clinic/Group Practice 2264942150 Receives reassigned benefits from 5 practitioners
Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory

Locations

43700 17th St W
Ste 202
Lancaster, CA 93534
Phone (661) 466-6707

10650 Reagan St
Unit 146
Los Alamitos, CA 90720

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1609690940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43700 17TH ST W STE 202",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344661",
            "telephone_number": "949-624-7171",
            "fax_number": "661-802-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43700 17TH ST W STE 202",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344661",
            "telephone_number": "949-624-7171",
            "fax_number": "661-802-7954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27462 Portola Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Foothill Ranch",
            "state": "CA",
            "postal_code": "926102838",
            "country_code": "US",
            "telephone_number": "949-624-7171",
            "fax_number": "661-802-7954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TND HEALTHCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "THAI",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-610-7900"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.