Individual provider Active NPI

Thai V DO, M.D.

  • Internal Medicine Physician
  • Corona, CA
National Provider Identifier
1619176559
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A53614 Issued in CA
Practice address
7977 Anza Vista CT
Corona, CA 92880-3244
Phone
(951) 737-2683
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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 A53614 CA Primary

Addresses

Primary practice location

7977 Anza Vista CT
Corona, CA 92880-3244

Mailing address

7977 Anza Vista CT
Corona, CA 92880-3244
Phone (951) 737-2683

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
I20180130002920 CA Practitioner - Internal Medicine 1951661594 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53614CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nguyen Huu, M.D., Inc Internal Medicine CurrentSince Jan 27, 2018 Accepting new patients
Tri Thuong Nguyen MD Apc Past Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients
Chinh V Huynh MD Inc Past Accepting new patients

Locations

1220 Hemlock Way
Ste 102
Santa Ana, CA 92707
Phone (714) 957-0040

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1619176559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7977 ANZA VISTA CT",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928803244",
            "telephone_number": "951-737-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7977 ANZA VISTA CT",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928803244",
            "telephone_number": "951-737-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "THAI",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.