THAI PHOU
NPI 1023319746
Physician Assistant - Surgical in La Puente, CA

Q: What is Thai Phou's NPI number?

The NPI number for Thai Phou is 1023319746. It was assigned to this individual provider in the NPPES registry on November 11, 2010.

Q: What is Thai Phou's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Thai Phou was last updated on January 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 11, 2010PECOS Enrolled

1840 N HACIENDA BLVD STE 12, LA PUENTE, CA 91744(916) 848-5412 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 9, 2026, Dec 11, 2018 (2 updates tracked since 2018).

On this page

About Thai Phou NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THAI PHOU (NPI 1023319746) is an individual surgical provider in La Puente, California, licensed in California (PA21328) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023319746

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameTHAI PHOU

Location Address1840 N HACIENDA BLVD STE 12La Puente, CA 91744-1143

Mailing Address1840 N Hacienda Blvd Ste 12La Puente, CA 91744-1143 · (909) 226-1100

Phone(916) 848-5412

Sole ProprietorNo

Enumeration DateNovember 11, 2010

Last NPPES UpdateJanuary 9, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2026

✔ NPI 1023319746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · PA21328

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA21328 (CA)

1840 N HACIENDA BLVD STE 12, La Puente, CA 91744

Open in Google Maps ↗

Other Names 1

Other Name (5)Thai Phou

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thai Phou is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

537 services163 patients

Membrane graft or membrane wrap, per square centimeter Q4205

A membrane graft or wrap is a surgical procedure where a special material is used to replace or support damaged tissue. This material, measured per square centimeter, acts like a scaffold, helping your body to regenerate healthy tissue in the affected area.

366 services12 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

235 services58 patients

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271

This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.

180 services27 patients

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271

75 services12 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

54 services53 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

41 services12 patients

Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342

A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.

36 services36 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

31 services30 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

22 services15 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

17 services12 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

16 services15 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

12 services12 patients

Leave this field empty

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DZUY LUU PA-C

Physician Assistant

1840 N HACIENDA BLVD STE 12
LA PUENTE, CA 91744

Los Angeles County (435) 999-9020

CHANUKYA DASARI MD A PROFESSIONAL CORPORATION

Surgery

1840 N HACIENDA BLVD STE 12
LA PUENTE, CA 91744

Los Angeles County (702) 723-6588

HTS PHYSICIAN ASSISTANT CORPORATION

Physician Assistant

1840 N HACIENDA BLVD STE 12
LA PUENTE, CA 91744

Los Angeles County (626) 613-4321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thai Phou's NPI number?

The NPI number for Thai Phou is 1023319746. It was assigned to this individual provider in the NPPES registry on November 11, 2010.

Where is Thai Phou located?

Thai Phou practices at 1840 N Hacienda Blvd Ste 12, La Puente, CA 91744. The listed phone number is (916) 848-5412.

What is Thai Phou's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Thai Phou enrolled in Medicare?

Yes. Thai Phou is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thai Phou was last updated on January 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.