Active NPI
Dat William Nguyen MD Inc
- Family Medicine Physician
- La Jolla, CA
National Provider Identifier
1114671799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DAT WILLIAM NGUYEN MD INC
- Practice address
- 6501 La Jolla Blvd
La Jolla, CA 92037-6016 - Phone
- (619) 300-2340
- NPI assigned
- Feb 11, 2022
- Last updated
- Aug 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dat William Nguyen, MD
- Title
- Ceo/ MD
- Phone
- (619) 300-2340
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
6501 La Jolla Blvd
La Jolla, CA 92037-6016
Mailing address
PO Box 8005
Rancho Santa Fe, CA 92067-8005
Phone (619) 300-2340
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- La Mesa, CA
- NPI 1386626448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690934400000",
"number": "1114671799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8005",
"city": "RANCHO SANTA FE",
"state": "CA",
"postal_code": "920678005",
"telephone_number": "619-300-2340",
"fax_number": "949-502-8887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 LA JOLLA BLVD",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920376016",
"telephone_number": "619-300-2340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAT WILLIAM NGUYEN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-11",
"last_updated": "2023-08-02",
"certification_date": "2023-06-26",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "DAT",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "CEO/ MD",
"authorized_official_telephone_number": "619-300-2340",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
- Shamim Darchini Astaneh, PHARM.D
- Stamatia Daroglou, PH.D.
- Darryl Abramson DDS Inc
- Darush L. Mohyi, M.D., a Professional Corporation (IVF La Jolla La Jolla Cosmetic Vein Clinic)
- Mitra Dastmalchi
- Julie Shmalo Datnow
- Jonathan Dator, PHD
- Sandip Kumar Datta, M.D.
- Brittney Ann Dautremont, DO, MPH
- Cindy Ann Daversa, M.S., R.D., C.D.E.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.