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BAO KHANH MINH THAI DO
NPI 1386872489
Family Medicine in Glendora, CA

Active since June 26, 2009PECOS EnrolledAccepts Medicare Assignment
210 S GRAND AVE STE 415, GLENDORA, CA 91741(626) 335-3627(626) 335-4806 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Nov 20, 2017, Nov 13, 2017 (3 updates tracked since 2017).

About Bao Khanh Minh Thai Do NPPES

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

BAO KHANH MINH THAI DO (NPI 1386872489) is an individual family medicine provider in Glendora, California, licensed in California (20A11806) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2009).

NPPES Registry Identity

NPI1386872489
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBAO KHANH MINH THAICredential: DO
Location Address210 S GRAND AVE STE 415Glendora, CA 91741-4292
Mailing Address210 S Grand Ave Ste 415Glendora, CA 91741-4292 · (626) 335-3627 · Fax (626) 335-4806
Phone(626) 335-3627
Fax(626) 335-4806
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2009
Enumeration DateJune 26, 2009
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1386872489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A11806
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
210 S GRAND AVE STE 415, Glendora, CA 91741
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bao Khanh Minh Thai Do 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 ID6103097431
PECOS Enrollment IDI20130118000094
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
73 services27 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.
20 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91741 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Bao Khanh Thai's NPI number?

The NPI number for Bao Khanh Thai is 1386872489. It was assigned to this individual provider in the NPPES registry on June 26, 2009.

Where is Bao Khanh Thai located?

Bao Khanh Thai practices at 210 S Grand Ave Ste 415, Glendora, CA 91741. The listed phone number is (626) 335-3627.

What is Bao Khanh Thai's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bao Khanh Thai enrolled in Medicare?

Yes. Bao Khanh Thai 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.

When was this NPI record last updated?

The NPPES record for Bao Khanh Thai was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.