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THU KIM VAN D.P.M.
NPI 1073577458
Podiatrist - Foot & Ankle Surgery in Garden Grove, CA

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment
12902 BROOKHURST ST, SUITE B, GARDEN GROVE, CA 92840(714) 636-3211(714) 636-5956 Get Directions Write a Review

NPPES record last updated: March 8, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thu Kim Van D.p.m. NPPES

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

THU KIM VAN D.P.M. (NPI 1073577458) is an individual foot & ankle surgery provider in Garden Grove, California, licensed in California (E3686) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (1989).

NPPES Registry Identity

NPI1073577458
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameTHU KIM VANCredential: D.P.M.
Location Address12902 BROOKHURST ST, SUITE BGarden Grove, CA 92840-4881
Mailing Address12902 Brookhurst St, Suite BGarden Grove, CA 92840-4881 · (714) 636-3211 · Fax (714) 636-5956
Phone(714) 636-3211
Fax(714) 636-5956
Sole ProprietorYes
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1989
Enumeration DateApril 13, 2006
Last NPPES UpdateMarch 8, 2011
✔ NPI 1073577458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E3686
12902 BROOKHURST ST, Garden Grove, CA 92840
Open in Google Maps ↗

Other Identifiers 4

Medicare PINWE3686BCA
Medicare NSC4232680001CA
Medicare UPINT96072CA
MedicaidGRE000290CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thu Kim Van D.p.m. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820133903
PECOS Enrollment IDI20100301000199
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.

Medicare Billing Reassignment

Medicare enrollment records show Thu Van reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ambulatory Foot Care Podiatry Clinic, Inc.
Same address
Foot & Ankle Surgery
12902 BROOKHURST ST, SUITE B
Garden Grove, CA 92840
  • Reassigned Medicare billing, California enrollment
NPI 1831384163 (714) 636-3211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
410 services178 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
277 services189 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
133 services60 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
119 services53 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.
114 services39 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
92 services92 patients

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.

AMBULATORY FOOT CARE PODIATRY CLINIC, INC.
Podiatrist (Foot & Ankle Surgery)
12902 BROOKHURST ST, SUITE B
GARDEN GROVE, CA 92840
Orange County (714) 636-3211
DR. ANN INMAN GAYLORD O.D.
Optometrist
12902 BROOKHURST ST, STE A
GARDEN GROVE, CA 92840
Orange County (714) 530-5050
JOHN SANGHYUN SHIN DISPENSER
Hearing Instrument Specialist
12902 BROOKHURST ST, STE D
GARDEN GROVE, CA 92840
Orange County (714) 534-5678

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 Thu Van's NPI number?

The NPI number for Thu Van is 1073577458. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Thu Van located?

Thu Van practices at 12902 Brookhurst St Suite B, Garden Grove, CA 92840. The listed phone number is (714) 636-3211.

What is Thu Van's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Thu Van enrolled in Medicare?

Yes. Thu Van is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Thu Van's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thu Van reassigns Medicare benefits to Ambulatory Foot Care Podiatry Clinic, Inc. (Garden Grove, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thu Van's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thu Van was last updated on March 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.