Active NPI
Tan Ba Nguyen, M.D.
- Diagnostic Radiology Physician
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A130215
- Practice address
- 5528 E la Palma Ave Ste 4a
Anaheim, CA 92807-2115 - Phone
- (714) 970-0200
- NPI assigned
- Aug 13, 2012
- Last updated
- Sep 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A130215 | CA | Primary |
Addresses
Primary practice location
5528 E la Palma Ave Ste 4a
Anaheim, CA 92807-2115
Mailing address
5528 E la Palma Ave Ste 4a
Anaheim, CA 92807-2115
Phone (714) 970-0200
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of California, Geffen School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1129 S San Gabriel Blvd
San Gabriel, CA 91776-3114
Phone (626) 287-6746
1350 W Covina Blvd
San Dimas, CA 91773-3245
Phone (909) 599-6811
27401 Los Altos
Suite 150
Mission Viejo, CA 92691-8013
Phone (949) 367-1010
312 N Garfield Ave
Monterey Park, CA 91754-1707
Phone (626) 572-2889
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130215 | CA | MD | Clinical Social Worker |
| A130215 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California Ucsd Department of Radiology | Diagnostic Radiology | Current | Accepting new patients |
| David C P Chen, M.D., Inc | Current | Accepting new patients | |
| Regents of the University of California | Diagnostic Radiology | Current | Accepting new patients |
| Crown Valley Radiologists Inc a Professional Medical Corp | Diagnostic Radiology | Current | Accepting new patients |
| United Premier Physicians Inc | Diagnostic Radiology | Current | Accepting new patients |
| Fullerton Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| C J Calvin Yang, M D a Professional Corp | Diagnostic Radiology | Current | Accepting new patients |
| Crown Valley Radiologist | Past | Accepting new patients | |
| Usc University Hospital, Inc. | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients |
Locations
235 S Garfield Ave
Alhambra, CA 91801
Phone (626) 943-9985
320 S Garfield Ave
Ste 102
Alhambra, CA 91801
Phone (626) 281-0124
5528 E La Palma Ave
Ste 4A
Anaheim, CA 92807
Phone (714) 970-0200
5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600
800 S Main St
Corona, CA 92882
Phone (909) 625-5411
10666 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-2626
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
27401 Los Altos
Ste 150
Mission Viejo, CA 92691
Phone (949) 209-9008
27401 Los Altos
Ste 180
Mission Viejo, CA 92691
Phone (949) 582-9624
5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111
208 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 287-6746
312 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 572-2889
4501 Birch St
Ste C
Newport Beach, CA 92660
Phone (310) 208-3100
4501 Birch St
Unit C
Newport Beach, CA 92660
Phone (949) 367-1010
1301 N Rose Dr
Placentia, CA 92870
Phone (714) 524-4252
1325 N Rose Dr
Placentia, CA 92870
Phone (714) 628-1313
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5720
8929 University Center Ln
Ste 101
San Diego, CA 92122
Phone (858) 457-4227
1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745
1129 S San Gabriel Blvd
San Gabriel, CA 91776
Phone (626) 282-2802
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 10
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.
-
- Radiology Clinic/Center
- Mission Viejo, CA
- NPI 1720042062
Diagnostic Radiology
-
dba Diagnostic Medical Group of Souther California
- Radiology Clinic/Center
- San Gabriel, CA
- NPI 1285785519
-
- Diagnostic Radiology Physician
- Anaheim, CA
- NPI 1861451858
-
- Diagnostic Radiology Physician
- Monterey Park, CA
- NPI 1831853266
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- Radiology Clinic/Center
- Alhambra, CA
- NPI 1902998370
Diagnostic Radiology
-
dba UCSD Department of Radiology
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1225213655
-
dba Crown Valley Imaging
- Radiology Clinic/Center
- Mission Viejo, CA
- NPI 1538566237
-
dba USC Hospital
- Psychiatric Hospital Unit
- Los Angeles, CA
- NPI 1790718500
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Duarte, CA
- NPI 1750358297
-
dba Corona Regional Medical Center
- General Acute Care Hospital
- Corona, CA
- NPI 1457347239
-
dba University of California Irvine - Cac Urgent Care
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1518739309
Hospital
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1053668608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5528 E LA PALMA AVE STE 4A",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928072115",
"telephone_number": "714-970-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5528 E LA PALMA AVE STE 4A",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928072115",
"telephone_number": "714-970-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TAN",
"middle_name": "BA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-13",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A130215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.