Organization Active NPI

Khoi N Nguyen, Inc

  • Gastroenterology Physician
  • Apple Valley, CA
National Provider Identifier
1053632661
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
KHOI N NGUYEN, INC
Practice address
15982 Quantico Rd
Suite F
Apple Valley, CA 92307-1382
Phone
(760) 242-3768
Fax
(760) 242-5601
NPI assigned
Jun 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Khoi Nguyen, M.D.
Title
C.E.O.
Phone
(760) 242-3768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

15982 Quantico Rd
Suite F
Apple Valley, CA 92307-1382

Mailing address

15982 Quantico Rd
Suite F
Apple Valley, CA 92307-1382
Phone (760) 242-3768

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1053632661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15982 QUANTICO RD",
            "address_2": "SUITE F",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071382",
            "telephone_number": "760-242-3768",
            "fax_number": "760-242-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15982 QUANTICO RD",
            "address_2": "SUITE F",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071382",
            "telephone_number": "760-242-3768",
            "fax_number": "760-242-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHOI N NGUYEN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KHOI",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "760-242-3768",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.