Active NPI
Andrea Tram Anh Quan Huynh, MD
- Family Medicine Physician
- San Jose, CA
National Provider Identifier
1669056040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 199303
- Practice address
- 57 N 13TH St
San Jose, CA 95112-3439 - Phone
- (408) 998-3075
- NPI assigned
- May 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 199303 | CA | Primary |
Addresses
Primary practice location
57 N 13TH St
San Jose, CA 95112-3439
Mailing address
57 N 13TH St
San Jose, CA 95112-3439
Phone (408) 998-3075
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250519000922 | CA | Order and Referring Only - Family Practice | 1052713104 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199303 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huynh Primary Care Inc | Single Specialty | Current | Accepting new patients |
Locations
57 N 13th St
San Jose, CA 95112
Phone (408) 998-3075
Organizations & group practices 1
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": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1669056040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 N 13TH ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951123439",
"telephone_number": "408-998-3075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 N 13TH ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951123439",
"telephone_number": "408-998-3075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "ANDREA TRAM ANH",
"middle_name": "QUAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-11",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "199303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.