Individual provider Active NPI

Tien Trinh, M.D.

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1881791135
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G79654 Issued in CA
Practice address
728 Colleen Dr
San Jose, CA 95123-4605
Phone
(408) 809-7533
Fax
(408) 809-7539
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 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 G79654 CA Primary

Addresses

Primary practice location

728 Colleen Dr
San Jose, CA 95123-4605

Mailing address

728 Colleen Dr
San Jose, CA 95123-4605
Phone (408) 809-7533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GU2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041222000421 CA Practitioner - Internal Medicine 5890753826 Reassigns benefits to 1 organization
I20180524000501 GU Practitioner - Internal Medicine 5890753826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
JS Weill Medical College, Cornell University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Medical Center, LLCGroup PAC ID 1759311699, 17 clinicians

Practice addresses (Care Compare)

1244 N Marine Corps Dr
Tamuning, GU 96913
Phone (671) 647-8262

1244 N Marine Corps Dr
Tamuning, GU 96913-4308

410 N Winchester Blvd
Santa Clara, CA 95050-6325
Phone (408) 248-3736

Hospital & facility affiliations

  • Health Services of the Pacific - Home Care Home health agency, Barrigada, GU, CCN 657004
  • Guam Visiting Nurses Home health agency, Tamuning, GU, CCN 657006
  • The Win Post-Acute Nursing home, Santa Clara, CA, CCN 055645

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79654CAMDPharmacist
G79654CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Medical Center, LLC CurrentSince Apr 16, 2018 Accepting new patients
TWG Medical Cac Current Accepting new patients
Dzung Trinh, M.D., Inc. Past Accepting new patients
Paragon Medical Group Internal Medicine Past Accepting new patients

Locations

1244 N Marine Corps Dr
Tamuning, GU 96913
Phone (671) 647-8262

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1881791135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 COLLEEN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951234605",
            "telephone_number": "408-809-7533",
            "fax_number": "408-809-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 COLLEEN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951234605",
            "telephone_number": "408-809-7533",
            "fax_number": "408-809-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINH",
        "first_name": "TIEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G79654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.