Healthcare Provider Details

I. General information

NPI: 1487313847
Provider Name (Legal Business Name): THVC MEDICAL GROUP OF CA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2021
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 KOLL CENTER PKWY STE 250
PLEASANTON CA
94566-8062
US

IV. Provider business mailing address

157 W 18TH ST FL 2
NEW YORK NY
10011-4163
US

V. Phone/Fax

Practice location:
  • Phone: 844-301-0093
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AIDEN FENG
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 844-301-0093