St. Paul Medical Clinic A Professional Corporation
NPI 1629142062ActiveOrganization· Internal Medicine· Van Nuys, CA
Internal Medicine in Van Nuys, California, registered in NPPES in November 2006. The authorized official on file is Anhtuan Dang Tran, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629142062 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 18, 2006 |
| Last updated in NPPES | Jul 1, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | A90428 | CA |
| Clinic/Center, Medical Specialty | 261QM2500X | A90428 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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