Kenny Au Quach, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E5920 Issued in CA

Practice address

11100 Warner Ave Ste 306
Fountain Valley, CA 92708-7512

Phone

(714) 979-0313

Fax

(714) 979-0340

NPI assigned

Jun 9, 2020

Last updated

Jun 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stanley K Mathis DPM IncGroup PAC ID 7416284138, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Garden Grove Hospital & Medical Center Hospital, Garden Grove, CA, CCN 050230
• Uci Health-Orange Hospital, Orange, CA, CCN 050348
• Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: kquach@oafc-ca.direct.office.nextgen.com
• Direct secure messaging: kenny.quach.p1@direct.ccchcenter.nextgenshare.com
• Direct secure messaging: kquach633167@direct.memorialcare.org

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.

• Kenny Quach DPM

  • Foot & Ankle Surgery Podiatrist
  • Fountain Valley, CA
  • NPI 1689350274
  Medicare reassignment NPD Authorized official
• Stanley K Mathis DPM Inc

  • Podiatrist
  • San Clemente, CA
  • NPI 1649737651
  Medicare reassignment Care Compare group NPD
• Complete Care Community Health Center, Inc

  • PACE Provider Organization
  • Los Angeles, CA
  • NPI 1215113964
  Medicare reassignment NPD
• Steve M. Eng, DPM, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Fountain Valley, CA
  • NPI 1528394319
  Medicare reassignment
• Complete Care Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Visalia, CA
  • NPI 1316729403
  NPD
• Complete Care Community Health Center, Inc

  • PACE Provider Organization
  • South Gate, CA
  • NPI 1811397888
  NPD
• MLS Clinical & Medical Corporation

  • Family Medicine Physician
  • Downey, CA
  • NPI 1912146887
  NPD (past)
• Orange Coast Memorial Medical Center

  • General Acute Care Hospital
  • Fountain Valley, CA
  • NPI 1497702575
  NPD (past)

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

• Orange Coast Memorial Medical Center

  • General Acute Care Hospital
  • Fountain Valley, CA
  • NPI 1497702575
  Care Compare affiliation
• Prime Healthcare Services - Garden Grove LLC

  dba Garden Grove Hospital & Medical Center

  • General Acute Care Hospital
  • Garden Grove, CA
  • NPI 1659538858
  Care Compare affiliation
• University of California Irvine

  dba University of California Irvine - Cac Urgent Care

  • Urgent Care Clinic/Center
  • Irvine, CA
  • NPI 1518739309

  Hospital

  Care Compare affiliation
• University of California Irvine

  dba Uci Health

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  Care Compare affiliation

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1841815545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 306",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087512",
            "telephone_number": "714-979-0313",
            "fax_number": "714-979-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 306",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087512",
            "telephone_number": "714-979-0313",
            "fax_number": "714-979-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUACH",
        "first_name": "KENNY",
        "middle_name": "AU",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "EL6963",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Quality Health Providers
• Quan H. Nguyen M D a Professional Corporation (Q-Dermatology)
• Quang Ngo DDS Inc
• Ashley Abigail Quevedo Ti
• Sadia Quidwai, PA-C

• Foot & Ankle Surgery Podiatrist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.