T. VAN, MD PROF. MEDICAL CORP.
NPI 1841188810
Clinic/Center - Primary Care in San Bernardino, CA

Active since June 26, 2025
1016 N D ST, SAN BERNARDINO, CA 92410(626) 255-9311(909) 752-5245 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About T. Van, Md Prof. Medical Corp. NPPES

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

T. VAN, MD PROF. MEDICAL CORP. (NPI 1841188810) is a healthcare organization registered as a primary care in San Bernardino, California and active in the NPI registry since June 2025. The organization lists Thien Van, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1841188810
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameT. VAN, MD PROF. MEDICAL CORP.
Location Address1016 N D STSan Bernardino, CA 92410-3522
Mailing Address1016 N D StSan Bernardino, CA 92410-3522 · (626) 255-9311 · Fax (909) 752-5245
Fax(909) 752-5245
Organization SubpartNo
Authorized OfficialThien VanMedical Director · (626) 255-9311
Enumeration DateJune 26, 2025
NPPES CertifiedJune 26, 2025
✔ NPI 1841188810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1016 N D ST, San Bernardino, CA 92410

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

T. Van, Md Prof. Medical Corp. 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 T. Van, MD Prof. Medical Corp., which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1760658900
1801 WESTWIND DR RM 318 VA CBOC BAKERSFIELD PRIMARY CARE
Bakersfield, CA 93301
(661) 632-1800
✔ PECOS132 mi

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 T. Van, MD Prof. Medical Corp.'s NPI number?

The NPI number for T. Van, MD Prof. Medical Corp. is 1841188810. It was assigned to this organization in the NPPES registry on June 26, 2025.

Where is T. Van, MD Prof. Medical Corp. located?

T. Van, MD Prof. Medical Corp. is located at 1016 N D St, San Bernardino, CA 92410. The listed phone number is (626) 255-9311.

What is T. Van, MD Prof. Medical Corp.'s specialty?

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

Is T. Van, MD Prof. Medical Corp. enrolled in Medicare?

Yes. T. Van, MD Prof. Medical Corp. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through T. Van, MD Prof. Medical Corp.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to T. Van, MD Prof. Medical Corp.. 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 T. Van, MD Prof. Medical Corp. was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.