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MINH THU NGOC AN M.D.
NPI 1770161341
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since April 01, 2021PECOS Enrolled
1650 RESPONSE ROAD, SACRAMENTO, CA 95815(916) 614-4055 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 26, 2025, Apr 1, 2021 (2 updates tracked since 2021).

About Minh Thu Ngoc An M.d. NPPES

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

MINH THU NGOC AN M.D. (NPI 1770161341) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2021).

NPPES Registry Identity

NPI1770161341
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMINH THU NGOC ANCredential: M.D.
Location Address1650 RESPONSE ROADSacramento, CA 95815
Mailing Address1650 Response RoadSacramento, CA 95815 · (916) 614-4055
Phone(916) 614-4055
Sole ProprietorYes
Medical School CMSMichigan State University College Of Human MedicineGraduated 2021
Enumeration DateApril 1, 2021
Last NPPES UpdateNovember 26, 20252 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
✔ NPI 1770161341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
1650 RESPONSE ROAD, Sacramento, CA 95815
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Minh Thu Ngoc An M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779088745
PECOS Enrollment IDI20250923001167
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.

Medicare Billing Reassignment

Medicare enrollment records show Minh Thu An reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
41 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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

Other Providers at the Same Location NPPES 5

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

MRS. STEPHANIE SHANNON BURKE REGISTERED DIETITIAN
Dietitian, Registered
1650 RESPONSE ROAD
SACRAMENTO, CA 95815
Sacramento County (916) 614-7056
CHRISTINA THOMPSON ROTH MS CCC-SLP
Speech-Language Pathologist
1650 RESPONSE ROAD
SACRAMENTO, CA 95815
Sacramento County (916) 614-4075
MS. CAROLYN LEUNG NP
Nurse Practitioner
1650 RESPONSE ROAD, POINT WEST MEDICINE 2 KAISER PERMANENTE
SACRAMENTO, CA 95815
Sacramento County (916) 614-4654
MOLLIE MASSY DO
Family Medicine
1650 RESPONSE ROAD
SACRAMENTO, CA 95815
Sacramento County (916) 614-4949
MS. ANGELITA FAN RD, MS, CDE, BC-ADM
Dietitian, Registered (Nutrition, Metabolic)
1650 RESPONSE ROAD
SACRAMENTO, CA 95815
Sacramento County (916) 614-4961

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 Minh Thu An's NPI number?

The NPI number for Minh Thu An is 1770161341. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Minh Thu An located?

Minh Thu An practices at 1650 Response Road, Sacramento, CA 95815. The listed phone number is (916) 614-4055.

What is Minh Thu An's specialty?

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

Is Minh Thu An enrolled in Medicare?

Yes. Minh Thu An is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Minh Thu An's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Minh Thu An reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Minh Thu An's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Minh Thu An was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.