Organization Active NPI

Hung-Anh Ba Nguyen, M.D., Inc

  • Family Medicine Physician
  • Rancho Cordova, CA
National Provider Identifier
1073815098
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0061059 Issued in MD
Legal business name
HUNG-ANH BA NGUYEN, M.D., INC
Practice address
2828 Mills Park Dr
Ste D
Rancho Cordova, CA 95670-4711
Phone
(916) 858-8515
Fax
(916) 858-8246
NPI assigned
Nov 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Hung-Anh Ba Nguyen, M.D.
Title
Owner
Phone
(916) 858-8515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D0061059 MD Primary

Addresses

Primary practice location

2828 Mills Park Dr
Ste D
Rancho Cordova, CA 95670-4711

Mailing address

2828 Mills Park Dr
Ste D
Rancho Cordova, CA 95670-4711
Phone (916) 858-8515

National Provider Directory

National Provider Directory

Locations

2001 Zinfandel Dr
Ste B2
Rancho Cordova, CA 95670
Phone (916) 369-8682

NPI Registry JSON

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1073815098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 MILLS PARK DR",
            "address_2": "STE D",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956704711",
            "telephone_number": "916-858-8515",
            "fax_number": "916-858-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 MILLS PARK DR",
            "address_2": "STE D",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956704711",
            "telephone_number": "916-858-8515",
            "fax_number": "916-858-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNG-ANH BA NGUYEN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HUNG-ANH",
        "authorized_official_middle_name": "BA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-858-8515",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0061059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.