Active NPI
Daniel Nguyen
- Psychiatry Physician
- Honolulu, HI
National Provider Identifier
1003369018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MDR-8763
- Practice address
- 1356 Lusitana St FL 4
Honolulu, HI 96813-2409 - Phone
- (808) 586-7428
- NPI assigned
- Jul 26, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | MDR-8763 | HI | Primary |
Addresses
Primary practice location
1356 Lusitana St FL 4
Honolulu, HI 96813-2409
Mailing address
4610 X St
Sacramento, CA 95817-2200
Phone (916) 816-9040
Other practice location 1
2230 Stockton Blvd
Sacramento, CA 95817-1353
Phone (916) 734-3574
Other practice location 2
4610 X St
Sacramento, CA 95817-2200
Phone (916) 816-9040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDR-8763 | HI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714176000000",
"number": "1003369018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4610 X ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172200",
"telephone_number": "916-816-9040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1356 LUSITANA ST FL 4",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132409",
"telephone_number": "808-586-7428"
}
],
"practiceLocations": [
{
"address_1": "2230 Stockton Blvd",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958171353",
"country_code": "US",
"telephone_number": "916-734-3574",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4610 X St",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958172200",
"country_code": "US",
"telephone_number": "916-816-9040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-26",
"last_updated": "2024-04-27",
"certification_date": "2024-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "MDR-8763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.