Individual provider Active NPI

Thanhtuyen DO, MD

  • Physical Medicine & Rehabilitation Physician
  • Costa Mesa, CA
National Provider Identifier
1760404040
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A062765 Issued in CA
Practice address
2501 Harbor Blvd
Department of Oehs Director, Dr. DO
Costa Mesa, CA 92626-6143
Phone
(714) 957-5187
Fax
(714) 957-5374
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A062765 CA Primary

Addresses

Primary practice location

2501 Harbor Blvd
Department of Oehs Director, Dr. DO
Costa Mesa, CA 92626-6143

Mailing address

1921 W Snead St
La Habra, CA 90631-9507
Phone (714) 957-5187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A062765CAMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760404040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 W SNEAD ST",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906319507",
            "telephone_number": "714-957-5187",
            "fax_number": "714-957-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 HARBOR BLVD",
            "address_2": "DEPARTMENT OF OEHS DIRECTOR, DR. DO",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926266143",
            "telephone_number": "714-957-5187",
            "fax_number": "714-957-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "THANHTUYEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A062765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.