Duc Van Nguyen M.D., Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

C42546 Issued in CA

Legal business name

DUC VAN NGUYEN M.D., INC

Practice address

8748 Valley Blvd
Suite H
Rosemead, CA 91770-1761

Phone

(626) 288-3306

Fax

(626) 288-9444

NPI assigned

Nov 15, 2012

Last updated

Nov 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Duc Van Nguyen, M.D.NPI 1518992544

Title

Owner

Phone

(626) 288-3306

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Duc Van Nguyen, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Rosemead, CA
  • NPI 1518992544
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1053655027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8748 VALLEY BLVD",
            "address_2": "SUITE H",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701761",
            "telephone_number": "626-288-3306",
            "fax_number": "626-288-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8748 VALLEY BLVD",
            "address_2": "SUITE H",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701761",
            "telephone_number": "626-288-3306",
            "fax_number": "626-288-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUC VAN NGUYEN M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DUC",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-288-3306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "C42546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C425461",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Monica Duarte
• Han Van Duong, M.D.& D.O.
• Han Xuan Duong, LPT
• Margarette Thi Duong, FNP
• Nhan Duong, FNP
• Phillip Duong, B.A.

• Primary Care Clinic/Center in Rosemead, CA
• Providers in Rosemead, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.