Chidao Nguyen, D.O., a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A10338 Issued in CA

Legal business name

CHIDAO NGUYEN, D.O., A PROFESSIONAL CORPORATION

Practice address

9353 Bolsa Ave
#E62
Westminster, CA 92683-5951

Phone

(909) 786-5061

NPI assigned

Oct 7, 2011

Organization subpart

No

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

Authorized official

Name

Chidao Nguyen, D.O.NPI 1780850198

Title

President

Phone

(909) 786-5061

Specialties & licenses 1

Addresses

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.

• Chidao L Nguyen, DO

  • Hospitalist Physician
  • Westminster, CA
  • NPI 1780850198
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1114201266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9353 BOLSA AVE",
            "address_2": "#E62",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835951",
            "telephone_number": "909-786-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9353 BOLSA AVE",
            "address_2": "#E62",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835951",
            "telephone_number": "909-786-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIDAO NGUYEN, D.O., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "CHIDAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-786-5061",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A10338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Westminster, CA
• Providers in Westminster, 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 Nov 19, 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.