Individual provider Active NPI

Thien Hieu Van, M.D.

  • Internal Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1760658900
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301091205 Issued in MI
Practice address
1801 Westwind Dr RM 318
VA Cboc Bakersfield Primary Care
Bakersfield, CA 93301-3028
Phone
(661) 632-1800
Fax
(661) 632-1886
NPI assigned
May 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301091205 MI Primary

Addresses

Primary practice location

1801 Westwind Dr RM 318
VA Cboc Bakersfield Primary Care
Bakersfield, CA 93301-3028

Mailing address

11301 Wilshire Blvd
Vha (VA Greater Los Angeles Healthcare System)
Los Angeles, CA 90073-1003
Phone (310) 478-3711

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260317004383 CA Practitioner - Internal Medicine 8325283336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1016 N D St
San Bernardino, CA 92410-3522

PO Box
Suite 1173
Salem, UT 84653

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Spring Hospice Care, Inc. Current Accepting new patients
T. Van, MD Prof. Medical Corp. CurrentSince Jan 4, 2026 Accepting new patients
Complex Care Consultants LLC CurrentSince Jan 16, 2022 Accepting new patients
At Home Physicians Managing Co PastSince Mar 1, 2010 Accepting new patients
Mme Enterprises Inc Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1760658900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 WILSHIRE BLVD",
            "address_2": "VHA (VA GREATER LOS ANGELES HEALTHCARE SYSTEM)",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900731003",
            "telephone_number": "310-478-3711",
            "fax_number": "661-632-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 WESTWIND DR RM 318",
            "address_2": "VA CBOC BAKERSFIELD PRIMARY CARE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013028",
            "telephone_number": "661-632-1800",
            "fax_number": "661-632-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "THIEN",
        "middle_name": "HIEU",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301091205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.