KENNY QUACH DPM
NPI 1689350274
Podiatrist - Foot & Ankle Surgery in Fountain Valley, CA
About Kenny Quach Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNY QUACH DPM (NPI 1689350274) is a healthcare organization registered as a foot & ankle surgery in Fountain Valley, California and active in the NPI registry since June 2023. The organization lists Kenny Au Quach, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kenny Quach Dpm 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 Kenny Quach DPM, which bills Medicare for the services this clinician delivers.
Clinician (1)
Fountain Valley, CA 92708
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kenny Quach Dpm's NPI number?
The NPI number for Kenny Quach Dpm is 1689350274. It was assigned to this organization in the NPPES registry on June 27, 2023.
Where is Kenny Quach Dpm located?
Kenny Quach Dpm is located at 11100 Warner Ave Ste 306, Fountain Valley, CA 92708. The listed phone number is (714) 979-0313.
What is Kenny Quach Dpm's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Kenny Quach Dpm enrolled in Medicare?
Yes. Kenny Quach Dpm is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kenny Quach Dpm?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Kenny Quach Dpm. 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.
When was this NPI record last updated?
The NPPES record for Kenny Quach Dpm was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kenny Quach Dpm · NPI 1689350274
Foot & Ankle Surgery organization in Fountain Valley, California. Organization record, active in the CMS NPPES registry since June 27, 2023.
## Identity
- **NPI:** 1689350274 (Entity type: Organization)
- **Enumerated:** June 27, 2023
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Kenny Quach, CEO
## Practice location
- **Address:** 11100 WARNER AVE STE 306, Fountain Valley, CA 92708-7512
- **Phone:** (714) 979-0313 · **Fax:** (714) 979-0340
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1689350274) · Data from the CMS NPPES public registry.