Individual provider Active NPI

Paul Dong Huynh, M.D.

  • Ophthalmology Physician
  • San Diego, CA
National Provider Identifier
1871577056
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
330573796 Issued in CA
Practice address
10737 Camino Ruiz
Suite 100
San Diego, CA 92126-2359
Phone
(858) 549-3200
Fax
(858) 549-3207
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 330573796 CA Primary

Addresses

Primary practice location

10737 Camino Ruiz
Suite 100
San Diego, CA 92126-2359

Mailing address

14872 Whispering Ridge Rd
San Diego, CA 92131-4262
Phone (858) 566-6404

Other identifiers 1

IdentifierTypeStateIssuer
00A791410MedicaidCA

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
I20070801000872 CA Practitioner - Ophthalmology 2769466986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albert Einstein College of Medicine of Yeshiva University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10737 Camino Ruiz
San Diego, CA 92126-2370
Phone (858) 549-3200

4844 University Ave
Suite a
San Diego, CA 92105-8021
Phone (619) 283-1303

Hospital & facility affiliations

  • Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324

Merit-based Incentive Payment System (MIPS)

Final score
95.32 of 100Reported as group
Quality
95.4
Improvement activities
40
Cost
73.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery259
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye & Laser Center of California Inc Ophthalmology CurrentSince Feb 1, 2008 Accepting new patients
Scripps Health Current Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients

Locations

4844 University Ave
Ste 4
San Diego, CA 92105

9910 Mira Mesa Blvd
Ste D3
San Diego, CA 92131
Phone (858) 413-5002

10737 Camino Ruiz
Ste 100
San Diego, CA 92126
Phone (858) 549-3200

4844 University Ave
San Diego, CA 92105

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

4844 University Ave
Ste A
San Diego, CA 92105
Phone (619) 280-3500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: phuynh81135@scrippshlth.medalliesdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1871577056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14872 WHISPERING RIDGE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921314262",
            "telephone_number": "858-566-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10737 CAMINO RUIZ",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262359",
            "telephone_number": "858-549-3200",
            "fax_number": "858-549-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "PAUL",
        "middle_name": "DONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "330573796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A791410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.