Active NPI
T. T. Tyler Nguyen, M.D., Inc.
- Internal Medicine Physician
- Long Beach, CA
National Provider Identifier
1063685808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A65048
- Legal business name
- T. T. TYLER NGUYEN, M.D., INC.
- Practice address
- 2865 Atlantic Ave.
Suite # 226
Long Beach, CA 90806 - Phone
- (562) 270-4050
- Fax
- (800) 858-2042
- NPI assigned
- Apr 11, 2008
- 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
- Toan T. Tyler Nguyen, M.D.
- Title
- President
- Phone
- (800) 472-9173
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A65048 | CA | Primary |
Addresses
Primary practice location
2865 Atlantic Ave.
Suite # 226
Long Beach, CA 90806
Mailing address
PO Box 2347
Orange, CA 92859-0347
Phone (562) 270-4050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2865 Atlantic Ave
Ste 226
Long Beach, CA 90806
Phone (562) 270-4050
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Long Beach, CA
- NPI 1639129711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402531200000",
"number": "1063685808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2347",
"city": "ORANGE",
"state": "CA",
"postal_code": "928590347",
"telephone_number": "562-270-4050",
"fax_number": "800-858-2042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2865 ATLANTIC AVE.",
"address_2": "SUITE # 226",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90806",
"telephone_number": "562-270-4050",
"fax_number": "800-858-2042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "T. T. TYLER NGUYEN, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-11",
"last_updated": "2014-06-12",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "TOAN",
"authorized_official_middle_name": "T. TYLER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-472-9173",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A65048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.