Tu Hoang MD a Professional Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A79962 Issued in CA

Legal business name

TU HOANG MD A PROFESSIONAL MEDICAL CORPORATION

Doing business as

TU HOANG MD

Practice address

1881 Commercenter E
Suite 120
San Bernardino, CA 92408-3456

Phone

(909) 883-2394

Fax

(909) 886-3069

NPI assigned

Jan 15, 2013

Organization subpart

No

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

Authorized official

Name

Tu Hoang, M.DNPI 1588696223

Title

Owner

Phone

(909) 883-2394

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• TU HOANG MD Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tu Hoang, M.D.

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1588696223
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1881931590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 COMMERCENTER E",
            "address_2": "SUITE 120",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083456",
            "telephone_number": "909-883-2394",
            "fax_number": "909-886-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 COMMERCENTER E",
            "address_2": "SUITE 120",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083456",
            "telephone_number": "909-883-2394",
            "fax_number": "909-886-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TU HOANG MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "TU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-883-2394",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A79962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00310658",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A799620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TU HOANG MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ken C Tsai, L.AC,PH.D
• Michelle V Tsai
• Eric Tsao, MD
• Juna Tsao, M.D.
• Caleigh Isabelle Tsuchiya, DDS
• Elijah Tuazon
• Leilanie Tubbs
• William Rodriguez Tucker
• Jasmine R Tunon
• Wilfredo Manabat Tupas, MD

• Internal Medicine Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.