Organization Active NPI

Physician Partners Medical Group, Inc.

  • Internal Medicine Physician
  • Westminster, CA
National Provider Identifier
1669147625
Registry record updated Nov 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PHYSICIAN PARTNERS MEDICAL GROUP, INC.
Practice address
15571 Brookhurst St
Westminster, CA 92683-7554
Phone
(714) 902-9523
Fax
(714) 902-9671
NPI assigned
Aug 12, 2021
Last updated
Nov 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2023

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

Authorized official

Name
Thu Thuy Terri Huynh, MDNPI 1740343367
Title
Physician
Phone
(714) 902-9523

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

15571 Brookhurst St
Westminster, CA 92683-7554

Mailing address

15571 Brookhurst St
Westminster, CA 92683-7554
Phone (714) 902-9523

Other identifiers 1

IdentifierTypeStateIssuer
1669147625MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Tigerconnect Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220428000596 CA Part B Supplier - Clinic/Group Practice 0042607772 Receives reassigned benefits from 4 practitioners
Practice locations: Westminster, CA; Fountain Valley, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2270443Physician Partners Medical Group15571 Brookhurst Street, Westminster, CA 92683Certificate of waiverOct 13, 2026

National Provider Directory

National Provider Directory

Locations

11100 Warner Ave
Ste 362
Fountain Vly, CA 92708
Phone (714) 434-4990

15355 Brookhurst St
Ste 106
Westminster, CA 92683

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699747200000",
    "number": "1669147625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15571 BROOKHURST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837554",
            "telephone_number": "714-902-9523",
            "fax_number": "714-902-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15571 BROOKHURST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837554",
            "telephone_number": "714-902-9523",
            "fax_number": "714-902-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN PARTNERS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2023-11-12",
        "certification_date": "2023-11-12",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "THU THUY",
        "authorized_official_middle_name": "TERRI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "714-902-9523",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669147625",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tigerconnect",
            "affiliation": "N",
            "endpointDescription": "Secured Text and Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15571 Brookhurst St",
            "city": "Westminster",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926837554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.