Phuc Dang Nguyen MD Inc

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

A32505 Issued in CA

Legal business name

PHUC DANG NGUYEN MD INC

Practice address

7901 Westminster Blvd
Westminster, CA 92683-4001

Phone

(714) 898-9368

NPI assigned

Jun 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Phuc Dang Nguyen, M.D

Title

President

Phone

(714) 898-9368

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Phuc Dang Nguyen M.D Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Westminster, CA
  • NPI 1114121407

  O20041210000461

  Same enrollment

Tax ID family

Phuc Dang Nguyen M D Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Phuc Dang Nguyen M.D Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Westminster, CA
  • NPI 1114121407
  NPD tax ID

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1124280201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 WESTMINSTER BLVD",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834001",
            "telephone_number": "714-898-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 WESTMINSTER BLVD",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834001",
            "telephone_number": "714-898-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHUC DANG NGUYEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PHUC",
        "authorized_official_middle_name": "DANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-898-9368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A32505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vu Tuan Phan
• Kathy Phi, OTR/L
• Linda Phi, DDS
• Phong H. Tran Medical Corp
• Phuc Dang Nguyen M.D Inc
• Phuc Vinh Nguyen M.D., Inc.
• Physician Partners Medical Group, Inc.
• Daniel Pickard
• Pine Drug Inc
• Ping on Holdings LLC

• Geriatric Medicine (Family Medicine) Physician in Westminster, CA
• Providers in Westminster, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.