Tri Minh DO, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

A55472 Issued in CA

Practice address

5091 Mitty Way
San Jose, CA 95129-1849

Phone

(408) 835-9601

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• South Bay Medical Clinic of San Jose

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1205320868
  NPD Authorized official
• Tri DO MD

  • Radiation Oncology Clinic/Center
  • San Jose, CA
  • NPI 1316664303
  NPD Authorized official
• California Cancer Associates for Research and Excellence Inc

  • Hematology & Oncology Physician
  • Fresno, CA
  • NPI 1083661607

  Radiation Oncology

  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1619930260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 LAFAYETTE ST",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950502904",
            "telephone_number": "408-835-9601",
            "fax_number": "408-770-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5091 MITTY WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951291849",
            "telephone_number": "408-835-9601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1791 E. Fir Avenue",
            "address_2": "Radiation dept",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203450",
            "country_code": "US",
            "telephone_number": "559-326-1238",
            "fax_number": "559-326-1230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DO",
        "first_name": "TRI",
        "middle_name": "MINH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A55472",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A55472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A554720",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN FOR MEDICARE",
            "identifier": "AS628T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thaodan-Dorothy Vu DO
• Thuy H DO, B.S.
• Tiffany DO
• Tin DO, RN
• Trang Uyen DO, M.D.
• Tu DO, PA
• Van N DO
• Van Viet DO, PHARM.D.
• Veyana DO
• Viet DO

• Radiation Oncology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Radiation Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.