Organization Active NPI

Tinny Quynh Dohn, D.O., Inc.

  • Family Medicine Physician
  • Los Gatos, CA
National Provider Identifier
1720261506
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A8202 Issued in CA
Legal business name
TINNY QUYNH DOHN, D.O., INC.
Practice address
14589 Los Gatos Blvd
Los Gatos, CA 95032-7663
Phone
(408) 356-8672
Fax
(408) 356-7004
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Dr. Tinny Quynhthoa Dohn, D.O.NPI 1710901285
Title
President
Phone
(408) 356-8672

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A8202 CA Primary

Addresses

Primary practice location

14589 Los Gatos Blvd
Los Gatos, CA 95032-7663

Mailing address

5170 Felter Rd
San Jose, CA 95132-3403
Phone (408) 356-8672

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080324000351 CA Part B Supplier - Clinic/Group Practice 1759467343 Receives reassigned benefits from 2 practitioners
Practice locations: Morgan Hill, CA; San Jose, CA; Gilroy, CA

National Provider Directory

National Provider Directory

Locations

14589 S Bascom Ave
Los Gatos, CA 95032
Phone (408) 356-7002

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1720261506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 FELTER RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951323403",
            "telephone_number": "408-356-8672",
            "fax_number": "408-272-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14589 LOS GATOS BLVD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950327663",
            "telephone_number": "408-356-8672",
            "fax_number": "408-356-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINNY QUYNH DOHN, D.O., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "DOHN",
        "authorized_official_first_name": "TINNY",
        "authorized_official_middle_name": "QUYNHTHOA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-356-8672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.