NPIMap

Individual provider Active NPI

Thuc Ba Tu, MD

  • Nephrology Physician
  • Long Beach, CA
National Provider Identifier
1699979229
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A84863 Issued in CA
Practice address
2785 Pacific Ave
Suite a
Long Beach, CA 90806-2612
Phone
(562) 424-4447
NPI assigned
Jun 14, 2007
Last updated
May 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A84863 CA Primary

Addresses

Primary practice location

2785 Pacific Ave
Suite a
Long Beach, CA 90806-2612

Mailing address

2785 Pacific Ave
Suite a
Long Beach, CA 90806-2612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080131000706 CA Practitioner - Internal MedicinePractitioner - Nephrology 6204918055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Choice Aco IncGroup PAC ID 7719379395, 60 clinicians

Practice addresses (Care Compare)

6552 Bolsa Ave
Huntington Beach, CA 92647-2656
Phone (714) 898-9635

7631 Wyoming St
Suite 201
Westminster, CA 92683-3904
Phone (714) 898-0765

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
84863CAMDMarriage & Family Therapist
A84863CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Humane Care 7 Days Medical Group, Inc Nephrology CurrentSince Nov 19, 2009 Accepting new patients
Family Choice Aco Inc Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Tit Sang Li MD & Nga Wan Wong MD Inc Internal Medicine Past Accepting new patients
University of California Irvine Past Accepting new patients
St Francis Medical Center Past Accepting new patients
H. a. Hamood M.D. Inc. Past Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients

Locations

11411 Brookshire Ave
Ste 301
Downey, CA 90241
Phone (562) 548-7530

6552 Bolsa Ave
Ste N
Huntington Beach, CA 92647
Phone (714) 898-9635

7631 Wyoming St
Ste 201
Westminster, CA 92683
Phone (714) 898-0765

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1699979229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 PACIFIC AVE",
            "address_2": "SUITE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 PACIFIC AVE",
            "address_2": "SUITE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062612",
            "telephone_number": "562-424-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TU",
        "first_name": "THUC",
        "middle_name": "BA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A84863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.