Organization Active NPI

Thien an Medical Center, Inc

  • General Practice Physician
  • Garden Grove, CA
National Provider Identifier
1891945846
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A37306 Issued in CA
Legal business name
THIEN AN MEDICAL CENTER, INC
Practice address
12541 Brookhurst St Ste 101
Garden Grove, CA 92840-4858
Phone
(714) 899-3498
Fax
(714) 899-3493
NPI assigned
Sep 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Tran A Tran, M.D.
Title
Medical Director
Phone
(714) 899-3498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X A37306 CA Primary

Addresses

Primary practice location

12541 Brookhurst St Ste 101
Garden Grove, CA 92840-4858

Mailing address

12541 Brookhurst St Ste 101
Garden Grove, CA 92840-4858
Phone (714) 899-3498

Other identifiers 1

IdentifierTypeStateIssuer
FNP37191OtherCAPERMIT NUMBER

National Provider Directory

National Provider Directory

Locations

12541 Brookhurst St
Ste 101
Garden Grove, CA 92840
Phone (714) 638-8262

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1891945846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12541 BROOKHURST ST STE 101",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404858",
            "telephone_number": "714-899-3498",
            "fax_number": "714-899-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12541 BROOKHURST ST STE 101",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404858",
            "telephone_number": "714-899-3498",
            "fax_number": "714-899-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIEN AN MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TRAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-899-3498",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A37306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERMIT NUMBER",
            "identifier": "FNP37191",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.