Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PETER HUYNH PA
NPI 1750955746
Student in an Organized Health Care Education/Training Program in Vallejo, CA

Active since May 14, 2021PECOS EnrolledAccepts Medicare Assignment
1310 CLUB DR, VALLEJO, CA 94592(707) 638-5809 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2023, May 14, 2021 (2 updates tracked since 2021).

About Peter Huynh Pa NPPES

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

PETER HUYNH PA (NPI 1750955746) is an individual student in an organized health care education/training program in Vallejo, California and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Touro Un College Of Osteopathic Medicine, Vallejo (2023).

NPPES Registry Identity

NPI1750955746
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePETER HUYNHCredential: PA
Location Address1310 CLUB DRVallejo, CA 94592-1187
Mailing Address9961 Sierra AveFontana, CA 92335-6720 · (909) 427-3914
Sole ProprietorYes
Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2023
Enumeration DateMay 14, 2021
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
NPI 1750955746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPhysician AssistantTaxonomy 363A00000X
1310 CLUB DR, Vallejo, CA 94592

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Peter Huynh Pa 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 ID4385096296
PECOS Enrollment IDI20240116003951
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592

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 Peter Huynh's NPI number?

The NPI number for Peter Huynh is 1750955746. It was assigned to this individual provider in the NPPES registry on May 14, 2021.

Where is Peter Huynh located?

Peter Huynh practices at 1310 Club Dr, Vallejo, CA 94592. The listed phone number is (707) 638-5809.

What is Peter Huynh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Peter Huynh enrolled in Medicare?

Yes. Peter Huynh 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 Peter Huynh was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.