Organization Active NPI

Wynn Medical Center Internal Medicine-Multispecialty

  • Internal Medicine Physician
  • Garden Grove, CA
National Provider Identifier
1619818630
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WYNN MEDICAL CENTER INTERNAL MEDICINE-MULTISPECIALTY
Practice address
10402 Westminster Ave Ste 100D
Garden Grove, CA 92843-4861
Phone
(714) 462-2225
NPI assigned
Apr 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Dr. Huynh Wynn Tran, MD FACPNPI 1649566571
Title
President/Ceo
Phone
(714) 462-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

10402 Westminster Ave Ste 100D
Garden Grove, CA 92843-4861

Mailing address

10402 Westminster Ave Ste 100D
Garden Grove, CA 92843-4861
Phone (714) 462-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260617000765 CA Part B Supplier - Clinic/Group Practice 4082186473 Receives reassigned benefits from 2 practitioners
Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory

Locations

10402 Westminster Ave
Ste 100D
Garden Grove, CA 92843
Phone (714) 462-2225

Practitioners & affiliated clinicians

Practitioners 3

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": "1775174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1619818630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10402 WESTMINSTER AVE STE 100D",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434861",
            "telephone_number": "714-462-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10402 WESTMINSTER AVE STE 100D",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434861",
            "telephone_number": "714-462-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNN MEDICAL CENTER INTERNAL MEDICINE-MULTISPECIALTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "HUYNH",
        "authorized_official_middle_name": "WYNN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "714-462-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD FACP"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.