NPIMap

Organization Active NPI

Thuy Thanh Nguyen, MD, Inc.

  • Family Medicine Physician
  • Garden Grove, CA
National Provider Identifier
1053979740
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THUY THANH NGUYEN, MD, INC.
Practice address
12302 Garden Grove Blvd Ste 27
Garden Grove, CA 92843-1834
Phone
(714) 530-2772
Fax
(714) 530-7424
NPI assigned
May 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Thuy Thu NguyenNPI 1003915125
Title
Office Manager
Phone
(714) 530-2772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

12302 Garden Grove Blvd Ste 27
Garden Grove, CA 92843-1834

Mailing address

12302 Garden Grove Blvd Ste 27
Garden Grove, CA 92843-1834
Phone (714) 530-2772

National Provider Directory

National Provider Directory

Locations

12302 Garden Grove Blvd
Ste 27
Garden Grove, CA 92843
Phone (714) 530-2772

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1053979740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12302 GARDEN GROVE BLVD STE 27",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431834",
            "telephone_number": "714-530-2772",
            "fax_number": "714-530-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12302 GARDEN GROVE BLVD STE 27",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431834",
            "telephone_number": "714-530-2772",
            "fax_number": "714-530-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUY THANH NGUYEN, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THUY",
        "authorized_official_middle_name": "THU",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-530-2772"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.