Paul TH Huynh, DO

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

20A8449 Issued in CA

Practice address

22555 Alessandro Blvd
Suite B
Moreno Valley, CA 92553-8533

Phone

(951) 656-7081

Fax

(951) 656-1710

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

NephrologyAlso: Internal Medicine

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nephrology Associates Medical Group IncGroup PAC ID 5092604447, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Valley View Dialysis Dialysis facility, Moreno Valley, CA, CCN 052807
• DaVita Canyon Springs Dialysis Dialysis facility, Moreno Valley, CA, CCN 552622
• FMC-Moreno Valley Dialysis facility, Moreno Valley, CA, CCN 552805
• Riverside University Health System-Medical Center Hospital, Moreno Valley, CA, CCN 050292

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles (4 of 5)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: paul.huynh.p137@direct.aac.nextgenshare.com
• Direct secure messaging: paul.huynh.1@19859.direct.athenahealth.com
• Direct secure messaging: phuynh100945@direct.llu.edu

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

• Nephrology Associates Medical Group Inc

  • Nephrology Physician
  • Riverside, CA
  • NPI 1447200126

  CA, Nephrology

  Medicare reassignment Care Compare group NPD
• Namg Home Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Riverside, CA
  • NPI 1013119064
  NPD (past)
• Nephrology Associates Medical Group, Inc.

  • Specialist
  • Riverside, CA
  • NPI 1093264145
  NPD (past)
• Primecare Medical Group

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1093720427
  NPD (past)

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

• Bio-Medical Applications of California, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Moreno Valley, CA
  • NPI 1609258284

  Dialysis facility

  Care Compare affiliation Name & address match
• Canyon Springs Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Moreno Valley, CA
  • NPI 1720269905

  Dialysis facility

  Care Compare affiliation Name & address match
• Renal Treatment Centers California Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Moreno Valley, CA
  • NPI 1407819485

  Dialysis facility

  Care Compare affiliation Name & address match
• County of Riverside

  • General Acute Care Hospital
  • Moreno Valley, CA
  • NPI 1821159195

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1750337341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 PARK SIERRA DR STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053071",
            "telephone_number": "951-687-3400",
            "fax_number": "951-687-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22555 ALESSANDRO BLVD",
            "address_2": "SUITE B",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925538533",
            "telephone_number": "951-656-7081",
            "fax_number": "951-656-1710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Latham St Ste A",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925011733",
            "country_code": "US",
            "telephone_number": "951-248-1291",
            "fax_number": "951-248-1295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "PAUL",
        "middle_name": "TH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "20A8449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX84490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernice Hurtado, MSW
• Desmond Hutauruk
• Andy Huynh, PHARMD
• Jenson Huynh, DO
• Kathleen Huynh, DO
• Thu Kieu Nguyen Huynh, PHARM.D.
• Jay Hwang, MD
• Hyun J. Shin,
• Hyun W Kim DDS Inc
• I-Thriv Wellness Anywhere

• All providers in Moreno Valley, CA
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.