Individual provider Active NPI

Anh Tuan Huynh, FNP

  • Family Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1851884381
Registry record updated Jun 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95009143 Issued in CA
Practice address
3100 Rubino Dr Apt 310
San Jose, CA 95125-6369
Phone
(408) 832-7175
NPI assigned
Jun 9, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95009143 CA Primary

Addresses

Primary practice location

3100 Rubino Dr Apt 310
San Jose, CA 95125-6369

Mailing address

3100 Rubino Dr Apt 310
San Jose, CA 95125-6369
Phone (408) 832-7175

Other identifiers 2

IdentifierTypeStateIssuer
95009143OtherCANURSE PRACTITIONER FURNISHING
95009143OtherCANURSE PRACTITIONER

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190104001219 CA Practitioner - Nurse Practitioner 3375889835 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tinny Quynh Dohn, D.O., Inc. CurrentSince Feb 27, 2023 Accepting new patients

Locations

14589 S Bascom Ave
Los Gatos, CA 95032
Phone (408) 356-7002

370 Noble Ct
Morgan Hill, CA 95037
Phone (408) 779-1231

1150 Tilton Dr
Sunnyvale, CA 94087
Phone (408) 735-2700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1528502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528502400000",
    "number": "1851884381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 RUBINO DR APT 310",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951256369",
            "telephone_number": "408-832-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 RUBINO DR APT 310",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951256369",
            "telephone_number": "408-832-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "ANH",
        "middle_name": "TUAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-09",
        "last_updated": "2018-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER FURNISHING",
            "identifier": "95009143",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "95009143",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.