Organization Active NPI

Vinh Xuan Nguyen

  • Internal Medicine Physician
  • El Monte, CA
National Provider Identifier
1104015692
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A56458 Issued in CA
Legal business name
VINH XUAN NGUYEN
Practice address
10050 Garvey Ave
115
El Monte, CA 91733-2088
Phone
(626) 448-3550
Fax
(626) 448-3549
NPI assigned
Oct 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Authorized official

Name
Dr. Vinh Xuan Nguyen, M.D.
Title
Owner
Phone
(626) 448-3550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A56458 CA Primary

Addresses

Primary practice location

10050 Garvey Ave
115
El Monte, CA 91733-2088

Mailing address

10050 Garvey Ave
115
El Monte, CA 91733-2088
Phone (626) 448-3550

Other identifiers 1

IdentifierTypeStateIssuer
00A564581MedicaidCA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0965390Fairview Med CLNC Dr Vinh Xuan Nguyen10050 E Garvey Ave #115, El Monte, CA 91733Certificate of waiverSep 19, 2027

National Provider Directory

National Provider Directory

Locations

10050 Garvey Ave
Ste 115
El Monte, CA 91733
Phone (626) 448-3550

Practitioners & affiliated clinicians

Practitioners 1

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": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1104015692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 GARVEY AVE",
            "address_2": "115",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917332088",
            "telephone_number": "626-448-3550",
            "fax_number": "626-448-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 GARVEY AVE",
            "address_2": "115",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917332088",
            "telephone_number": "626-448-3550",
            "fax_number": "626-448-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINH XUAN NGUYEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VINH",
        "authorized_official_middle_name": "XUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-448-3550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A56458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A564581",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.