Individual provider Active NPI

Thomas T Nguyen, P.A.

  • Physician Assistant
  • Anaheim, CA
National Provider Identifier
1053436741
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15878 Issued in CA
Practice address
1101 S Anaheim Blvd
#100
Anaheim, CA 92805-5811
Phone
(714) 937-1919
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15878 CA Primary

Addresses

Primary practice location

1101 S Anaheim Blvd
#100
Anaheim, CA 92805-5811

Mailing address

5080 Spectrum Dr
Suite 1200 West
Addison, TX 75001-4648
Phone (972) 364-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091005000632 CA Practitioner - Physician Assistant 8921144908 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15878CAMDOccupational Therapist
PA15878CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of California, a Medical Corporation CurrentSince Aug 18, 2016 Accepting new patients
American Current Care of California, a Medical Corporation CurrentSince Aug 18, 2016 Accepting new patients

Locations

1101 S Anaheim Blvd
#100
Anaheim, CA 92805
Phone (714) 937-1919

1800 Westwind Dr
Ste 301
Bakersfield, CA 93301
Phone (661) 327-9617

9500 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 836-5004

2555 S East Ave
Fresno, CA 93706
Phone (559) 499-2400

640 S Placentia Ave
Placentia, CA 92870
Phone (714) 579-7772

9405 Fairway View Pl
Rancho Cucamonga, CA 91730
Phone (909) 481-7345

2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055

2587 Merced St
San Leandro, CA 94577
Phone (510) 351-3553

740 Nordahl Rd
Ste 131
San Marcos, CA 92069
Phone (760) 432-9000

800 N Tustin Ave
Ste A
Santa Ana, CA 92705
Phone (714) 245-0800

1530 E Edinger Ave
Ste 1
Santa Ana, CA 92705
Phone (714) 442-0600

1221 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 543-8360

3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500

21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1053436741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR",
            "address_2": "SUITE 1200 WEST",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014648",
            "telephone_number": "972-364-8000",
            "fax_number": "214-775-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S ANAHEIM BLVD",
            "address_2": "#100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055811",
            "telephone_number": "714-937-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THOMAS",
        "middle_name": "T",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.