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THAI BINH MEDICAL CLINIC
NPI 1215401583
Clinic/Center - Primary Care in Garden Grove, CA

Active since January 18, 2019CLIA 05D0713604 · Microscopy
10691 WESTMINSTER AVE # 100, GARDEN GROVE, CA 92843(714) 539-4900(714) 539-4902 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 26, 2024, Jun 11, 2024, Jun 6, 2024 and 1 more (4 updates tracked since 2019).

About Thai Binh Medical Clinic NPPES

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

THAI BINH MEDICAL CLINIC (NPI 1215401583) is a healthcare organization registered as a primary care in Garden Grove, California and active in the NPI registry since January 2019. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Thaibinh Tran Phan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215401583
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTHAIBINH PHAN MD INC
Location Address10691 WESTMINSTER AVE # 100Garden Grove, CA 92843-4911
Mailing Address9906 Dandelion AveFountain Valley, CA 92708-2030 · (714) 539-4900 · Fax (714) 539-4902
Phone(714) 539-4900
Fax(714) 539-4902
Organization SubpartNo
Authorized OfficialThaibinh Tran PhanCeo · (714) 539-4900
Enumeration DateJanuary 18, 2019
Last NPPES UpdateSeptember 26, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1215401583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
10691 WESTMINSTER AVE # 100, Garden Grove, CA 92843
Open in Google Maps ↗

Other Names 1

Doing Business AsThai Binh Medical Clinic

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thai Binh Medical Clinic 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 Thai Binh Medical Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Thaibinh Phan, M.D.
Family Practice
NPI 1891957718
10691 WESTMINSTER AVE # 100
Garden Grove, CA 92843
(714) 539-4900
✔ PECOS✔ Accepts MedicareSame address

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0713604

Thai Binh Medical Clinic · Garden Grove, CA
Active · expires Aug 31, 2028
CLIA Number05D0713604
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorThai Binh T. Phan MD
Laboratory Phone(714) 539-4900
Laboratory LocationThai Binh Medical Clinic10691 Westminster Avenue Suite 100, Garden Grove, CA 92843
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Thaibinh Phan MD Inc's NPI number?

The NPI number for Thaibinh Phan MD Inc is 1215401583. It was assigned to this organization in the NPPES registry on January 18, 2019. The provider is doing business as Thai Binh Medical Clinic.

Where is Thaibinh Phan MD Inc located?

Thaibinh Phan MD Inc is located at 10691 Westminster Ave # 100, Garden Grove, CA 92843. The listed phone number is (714) 539-4900.

What is Thaibinh Phan MD Inc's specialty?

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

Is Thaibinh Phan MD Inc enrolled in Medicare?

Yes. Thaibinh Phan MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thaibinh Phan MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Thaibinh Phan MD Inc. 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 Thaibinh Phan MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0713604) 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 Thaibinh Phan MD Inc was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.