Organization Active NPI

Thien Phuoc Medical Center Inc

  • General Practice Physician
  • Westminster, CA
National Provider Identifier
1730851221
Registry record updated Oct 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
THIEN PHUOC MEDICAL CENTER INC
Doing business as
Thien Phuoc Medical Center Inc
Practice address
250 Hospital Cir
Westminster, CA 92683-3953
Phone
(714) 622-5593
Fax
(714) 622-4026
NPI assigned
Oct 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2021

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

Authorized official

Name
Dr. Tran Tran, MD
Title
Owner
Phone
(714) 622-5593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

250 Hospital Cir
Westminster, CA 92683-3953

Mailing address

250 Hospital Cir
Westminster, CA 92683-3953
Phone (714) 622-5593

Other names 1

  • THIEN PHUOC MEDICAL CENTER INC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211206000294 CA Part B Supplier - Clinic/Group Practice 6901296037 Receives reassigned benefits from 2 practitioners
Practice locations: Westminster, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1633132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633132800000",
    "number": "1730851221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HOSPITAL CIR",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833953",
            "telephone_number": "714-622-5593",
            "fax_number": "714-622-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HOSPITAL CIR",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833953",
            "telephone_number": "714-622-5593",
            "fax_number": "714-622-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIEN PHUOC MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-02",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-622-5593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THIEN PHUOC MEDICAL CENTER INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 2, 2021; 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.