Active NPI
Chau N Nguyen, DDS
- General Practice Dentistry
- South Gate, CA
National Provider Identifier
1053525022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 41494
- Practice address
- 8420 California Ave
South Gate, CA 90280-2414 - Phone
- (323) 567-2137
- Fax
- (323) 567-5514
- NPI assigned
- May 9, 2007
- 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 | 41494 | CA | Primary |
Addresses
Primary practice location
8420 California Ave
South Gate, CA 90280-2414
Mailing address
8420 California Ave
South Gate, CA 90280-2414
Phone (323) 567-2137
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D41494 | Medicaid | CA | |
| G91127-01 | Medicaid | CA |
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 |
|---|---|---|---|
| 41494 | CA | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1053525022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8420 CALIFORNIA AVE",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902802414",
"telephone_number": "323-567-2137",
"fax_number": "323-567-5514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8420 CALIFORNIA AVE",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902802414",
"telephone_number": "323-567-2137",
"fax_number": "323-567-5514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "CHAU",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "41494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D41494",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G91127-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.