Lana Ngoc Nguyen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G704410 Issued in CA

Practice address

3835 Cypress Dr
Suite 102
Petaluma, CA 94954-6965

Phone

(707) 765-2425

Fax

(707) 765-3974

NPI assigned

Jul 12, 2006

Last updated

May 14, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alliance Pain Care

  • Pain Medicine (Anesthesiology) Physician
  • Petaluma, CA
  • NPI 1730117789
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1023043494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 CYPRESS DR",
            "address_2": "SUITE 102",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546965",
            "telephone_number": "707-765-2425",
            "fax_number": "707-765-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 CYPRESS DR",
            "address_2": "SUITE 102",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546965",
            "telephone_number": "707-765-2425",
            "fax_number": "707-765-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LANA",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G704410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G704410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Next Level Physical Therapy Inc. (Next Level Physical Therapy Performance and Fitness)
• Huong Ngo
• Wenjamin Nguyen-Gilmore
• Eric Nguyen
• Kant Kim Luong Nguyen
• Trang Nguyen
• Maya Grace Nicholls, CMT
• Ann Marie Nicol, FNP
• Dana Charles Niendorf, MD
• Katherine E Nies, LCSW

• Family Medicine Physician in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.