THOA TRONG DO MD PROF. CORP.
NPI 1114236635
Clinic/Center - Primary Care in Garden Grove, CA

Active since October 01, 2010CLIA 05D0580051 · Waiver
14350 BROOKHURST ST, GARDEN GROVE, CA 92843(714) 839-0294(714) 839-1082 Get Directions Write a Review

NPPES record last updated: October 1, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thoa Trong Do Md Prof. Corp. NPPES

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

THOA TRONG DO MD PROF. CORP. (NPI 1114236635) is a healthcare organization registered as a primary care in Garden Grove, California and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Thoa Trong Do, President, as its authorized official.

NPPES Registry Identity

NPI1114236635
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTHOA TRONG DO MD PROF. CORP.
Location Address14350 BROOKHURST STGarden Grove, CA 92843-4608
Mailing Address14350 Brookhurst StGarden Grove, CA 92843-4608 · (714) 839-0294 · Fax (714) 839-1082
Fax(714) 839-1082
Organization SubpartNo
Authorized OfficialThoa Trong DoPresident · (714) 839-0294
Enumeration DateOctober 1, 2010
✔ NPI 1114236635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · A43520
14350 BROOKHURST ST, Garden Grove, CA 92843

Other Identifiers 3

Medicare PINA43520CA
Medicaid00A435200CA
Medicare UPINF23259CA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thoa Trong Do Md Prof. Corp. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Thoa Trong Do MD Prof. Corp., which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1982719597
14350 BROOKHURST ST
Garden Grove, CA 92843
(714) 839-0294
✔ PECOS✔ Accepts Medicare0.1 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0580051

Thoa Do MD · Garden Grove, CA
Active · expires Aug 31, 2028
CLIA Number05D0580051
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorThoa Do
Laboratory Phone(714) 839-0294
Laboratory LocationThoa Do MD14350 Brookhurst, Garden Grove, CA 92643
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Thoa Trong Do MD Prof. Corp.'s NPI number?

The NPI number for Thoa Trong Do MD Prof. Corp. is 1114236635. It was assigned to this organization in the NPPES registry on October 1, 2010.

Where is Thoa Trong Do MD Prof. Corp. located?

Thoa Trong Do MD Prof. Corp. is located at 14350 Brookhurst St, Garden Grove, CA 92843. The listed phone number is (714) 839-0294.

What is Thoa Trong Do MD Prof. Corp.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Thoa Trong Do MD Prof. Corp. enrolled in Medicare?

Yes. Thoa Trong Do MD Prof. Corp. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thoa Trong Do MD Prof. Corp.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Thoa Trong Do MD Prof. Corp.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Thoa Trong Do MD Prof. Corp. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0580051) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Thoa Trong Do MD Prof. Corp. was last updated on October 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.