Lucerne Valley Healthcare, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LUCERNE VALLEY HEALTHCARE, INC.

Doing business as

Lucerne Valley H Clinic

Practice address

32770 Old Woman Springs Rd
Unit a
Lucerne Valley, CA 92356

Phone

(714) 531-7930

NPI assigned

Apr 10, 2018

Organization subpart

No

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

Authorized official

Name

Hoang Tran Nguyen, MDNPI 1457329179

Title

President

Phone

(714) 414-6120

Specialties & licenses 1

Addresses

Other names 1

• Lucerne Valley H Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Hoang Tran Nguyen, M.D.

  • Internal Medicine Physician
  • Fountain Valley, CA
  • NPI 1457329179
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1073010740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10666 CHAPMAN AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928403103",
            "telephone_number": "714-531-7930",
            "fax_number": "714-531-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32770 OLD WOMAN SPRINGS RD",
            "address_2": "UNIT A",
            "city": "LUCERNE VALLEY",
            "state": "CA",
            "postal_code": "92356",
            "telephone_number": "714-531-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCERNE VALLEY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HOANG",
        "authorized_official_middle_name": "TRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-414-6120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lucerne Valley H Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Hidalgo I
• Brenda Kruger
• Clee Langley
• Nelson Lopez Campos Jr., MA, TEACHING CRED
• Lucerne Valley Fire District
• Lucerne Valley Usd
• Lutheran Social Services of Southern California
• Sara Kristen Mitchell
• Pacific Clinics
• Peter Quintin Pena

• Internal Medicine Physician in Lucerne Valley, CA
• Providers in Lucerne Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.

Verify at the official NPI Registry.