Individual provider Active NPI

Quoc Lap Nguyen, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Laguna Hills, CA
National Provider Identifier
1083802003
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
59352 Issued in CA
Practice address
24953 Paseo de Valencia Ste 22B
Laguna Hills, CA 92653-4311
Phone
(949) 768-4071
Fax
(949) 768-0292
NPI assigned
Oct 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 59352 CA Primary

Addresses

Primary practice location

24953 Paseo de Valencia Ste 22B
Laguna Hills, CA 92653-4311

Mailing address

24953 Paseo de Valencia
Suite 1C
Laguna Hills, CA 92653-4342
Phone (949) 768-4071

Other identifiers 1

IdentifierTypeStateIssuer
59352OtherCADENTAL BOARD OF CALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110228000066 CA Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 6709949621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
New York University College of Dentistry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24953 Paseo de Valencia
Suite 22B
Laguna Hills, CA 92653-4311
Phone (949) 768-4071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quoc L. Nguyen, D.D.S. a Professional Dental Corporation CurrentSince Nov 12, 2010 Accepting new patients
Don C. Kalant Sr., D.D.S. and Assoc Oral and Maxillofacial Surgery Past Accepting new patients
Mobile Anesthesiologists Chicago LLC Past Accepting new patients

Locations

24953 Paseo de Valencia
Ste 22B
Laguna Hills, CA 92653
Phone (949) 951-1066

24953 Paseo de Valencia
Ste 1C
Laguna Hills, CA 92653
Phone (949) 446-9325

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1083802003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA",
            "address_2": "SUITE 1C",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534342",
            "telephone_number": "949-768-4071",
            "fax_number": "949-768-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA STE 22B",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534311",
            "telephone_number": "949-768-4071",
            "fax_number": "949-768-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "QUOC",
        "middle_name": "LAP",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "59352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNIA",
            "identifier": "59352",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.