Active NPI
Thomas H Van, M.D.
- Family Medicine Physician
- Long Beach, CA
National Provider Identifier
1619937877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A061189
- Practice address
- 2600 Redondo Ave
303
Long Beach, CA 90806-2329 - Phone
- (562) 988-7000
- Fax
- (562) 988-7201
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A061189 | CA | Primary |
Addresses
Primary practice location
2600 Redondo Ave
303
Long Beach, CA 90806-2329
Mailing address
440 E Huntington Dr
Suite 200
Arcadia, CA 91006-3776
Phone (626) 254-8246
Other names 1
- Dr. Thinh H Van
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A061189 | CA | MD | Family Medicine Physician |
| 61189 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Group Inc | Past | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients |
Interoperability endpoints
- thomasvan@hcpca.allscriptsdirect.net
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1619937877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 E HUNTINGTON DR",
"address_2": "SUITE 200",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063776",
"telephone_number": "626-254-8246",
"fax_number": "626-254-8236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 REDONDO AVE",
"address_2": "303",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062329",
"telephone_number": "562-988-7000",
"fax_number": "562-988-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN",
"first_name": "THOMAS",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A061189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THINH",
"last_name": "VAN",
"middle_name": "H",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.