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PHUC TUAN HUYNH D.O.
NPI 1922005602
Family Medicine in San Bernardino, CA

Active since July 07, 2005PECOS Enrolled
2619 S WATERMAN AVE STE B, SAN BERNARDINO, CA 92408(909) 424-0943(909) 424-0972 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phuc Tuan Huynh D.o. NPPES

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

PHUC TUAN HUYNH D.O. (NPI 1922005602) is an individual family medicine provider in San Bernardino, California, licensed in California (20A7890) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922005602
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePHUC TUAN HUYNHCredential: D.O.
Location Address2619 S WATERMAN AVE STE BSan Bernardino, CA 92408-3737
Mailing Address2619 S Waterman Ave Ste BSan Bernardino, CA 92408-3737 · (909) 424-0943 · Fax (909) 424-0972
Phone(909) 424-0943
Fax(909) 424-0972
Sole ProprietorNo
Enumeration DateJuly 7, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1922005602 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 · 20A7890
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.
2619 S WATERMAN AVE STE B, San Bernardino, CA 92408
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Other Identifiers 3

Medicaid00AX78900CA
Medicare ID-Type Unspecified020A78904CA
Medicare UPINH51908

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phuc Tuan Huynh D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92408 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers31 claims75 services$4.20 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers22 claims32 services$0.68 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier12 claims24 services$1.06 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier21 claims630 services$4.09 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims2,627 services$0.31 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers42 claims42 services$13.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Phuc Huynh's NPI number?

The NPI number for Phuc Huynh is 1922005602. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Phuc Huynh located?

Phuc Huynh practices at 2619 S Waterman Ave Ste B, San Bernardino, CA 92408. The listed phone number is (909) 424-0943.

What is Phuc Huynh's specialty?

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

Is Phuc Huynh enrolled in Medicare?

Yes. Phuc Huynh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phuc Huynh was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.