Active NPI
Cuong Quoc Nguyen, DMD, MPH
- Dentist
- El Segundo, CA
National Provider Identifier
1053797456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS103209
- Practice address
- 390 N. Pacific Coast Hwy, Suite 1150
El Segundo, CA 90245 - Phone
- (310) 322-1814
- Fax
- (267) 769-1596
- NPI assigned
- Aug 7, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | DS040485 | PA | |
| Dentist | 122300000X | DDS103209 | CA | Primary |
Addresses
Primary practice location
390 N. Pacific Coast Hwy, Suite 1150
El Segundo, CA 90245
Mailing address
390 N. Pacific Coast Hwy, Suite 1150
El Segundo, CA 90245
Phone (310) 322-1814
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS103209 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cuong Nguyen, DMD, MPH, a Professional Dental Corporation | Current | Accepting new patients | |
| Resources for Human Development, Inc. | Past | Accepting new patients | |
| Family Practice & Counseling Services Network, Inc. | Past | Accepting new patients |
Locations
390 N Pacific Coast Hwy
Ste 1150
El Segundo, CA 90245
Phone (310) 322-1814
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.
-
- General Practice Dentistry
- El Segundo, CA
- NPI 1922894567
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1043204811
-
- Federally Qualified Health Center (FQHC)
- York, PA
- NPI 1306127634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1053797456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 N. PACIFIC COAST HWY, SUITE 1150",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "90245",
"telephone_number": "310-322-1814",
"fax_number": "267-597-3622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 N. PACIFIC COAST HWY, SUITE 1150",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "90245",
"telephone_number": "310-322-1814",
"fax_number": "267-769-1596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "CUONG",
"middle_name": "QUOC",
"name_prefix": "Dr.",
"credential": "DMD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-07",
"last_updated": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "PA",
"license": "DS040485",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS103209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.