Active NPI
MD24 San Diego, Inc.
- Family Medicine Physician
- Costa Mesa, CA
National Provider Identifier
1053898395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MD24 SAN DIEGO, INC.
- Practice address
- 600 Anton Blvd Ste 1100
Costa Mesa, CA 92626-7100 - Phone
- (623) 374-7774
- NPI assigned
- Jul 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Linh C Nguyen, MD
- Title
- Ceo
- Phone
- (623) 374-7774
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
600 Anton Blvd Ste 1100
Costa Mesa, CA 92626-7100
Mailing address
14780 W Mountain View Blvd Ste 110
Surprise, AZ 85374-7280
Phone (623) 374-7774
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Adult Medicine Physician
- Surprise, AZ
- NPI 1275596827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531958400000",
"number": "1053898395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14780 W MOUNTAIN VIEW BLVD STE 110",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853747280",
"telephone_number": "623-374-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 ANTON BLVD STE 1100",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926267100",
"telephone_number": "623-374-7774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD24 SAN DIEGO, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-19",
"last_updated": "2018-07-19",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "LINH",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "623-374-7774",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.