Kenny Quach DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

KENNY QUACH DPM

Practice address

11100 Warner Ave Ste 306
Fountain Valley, CA 92708-7512

Phone

(714) 979-0313

Fax

(714) 979-0340

NPI assigned

Jun 27, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kenny Au Quach, DPMNPI 1841815545

Title

Ceo

Phone

(714) 979-0313

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenny Au Quach, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fountain Valley, CA
  • NPI 1841815545
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1689350274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 306",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087512",
            "telephone_number": "714-979-0313",
            "fax_number": "714-979-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 306",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087512",
            "telephone_number": "714-979-0313",
            "fax_number": "714-979-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNY QUACH DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "QUACH",
        "authorized_official_first_name": "KENNY",
        "authorized_official_middle_name": "AU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-979-0313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kendis, PSYD
• Jyotsna Keni, M.D.
• Diane Elizabeth Kennedy, N.P.
• Kenneth R. Fineman PH.D Psych Corp
• Carolyn G Kennis, CRNA
• Kent N. DO., D.M.D., Inc.
• Allison Kerr
• James Kerr
• Laura Ketcham, BA
• Keun-Heng Huo, MD, Inc.

• Foot & Ankle Surgery Podiatrist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.