Active NPI
Paul Chau Nguyen, DDS
- General Practice Dentistry
- San Lorenzo, CA
National Provider Identifier
1003835570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 44228
- Practice address
- 15931 Hesperian Blvd
San Lorenzo, CA 94580-1539 - Phone
- (510) 481-5491
- NPI assigned
- Jul 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 44228 | CA | Primary |
Addresses
Primary practice location
15931 Hesperian Blvd
San Lorenzo, CA 94580-1539
Mailing address
15931 Hesperian Blvd
San Lorenzo, CA 94580-1539
Phone (510) 481-5491
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44228 | Other | CA | DENTI-CAL |
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 |
|---|---|---|---|
| 44228 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003835570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15931 HESPERIAN BLVD",
"city": "SAN LORENZO",
"state": "CA",
"postal_code": "945801539",
"telephone_number": "510-481-5491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15931 HESPERIAN BLVD",
"city": "SAN LORENZO",
"state": "CA",
"postal_code": "945801539",
"telephone_number": "510-481-5491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "PAUL",
"middle_name": "CHAU",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "44228",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL",
"identifier": "44228",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Lorenzo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.