Organization Active NPI

Paul Nguyen MD LTD

  • Psychiatry Physician
  • N Las Vegas, NV
National Provider Identifier
1124406129
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
12178 Issued in NV
Legal business name
PAUL NGUYEN MD LTD
Practice address
2031 McDaniel St Ste 230
N Las Vegas, NV 89030-6309
Phone
(702) 405-9080
Fax
(702) 405-9240
NPI assigned
May 11, 2015
Last updated
Nov 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Authorized official

Name
Paul Nguyen, MDNPI 1740497346
Title
Owner
Phone
(702) 685-0674

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)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 12178 NV Primary

Addresses

Primary practice location

2031 McDaniel St Ste 230
N Las Vegas, NV 89030-6309

Mailing address

PO Box 36830
Las Vegas, NV 89133-6830
Phone (702) 487-7055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150617002751 NV Part B Supplier - Clinic/Group Practice 8022329051 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV
O20200526002372 AZ Part B Supplier - Clinic/Group Practice 8022329051 Receives reassigned benefits from 1 practitioner
Practice locations: Tempe, AZ

National Provider Directory

National Provider Directory
Tax ID family
Paul Nguyen MD LTD2 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.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1124406129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36830",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891336830",
            "telephone_number": "702-487-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 MCDANIEL ST STE 230",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890306309",
            "telephone_number": "702-405-9080",
            "fax_number": "702-405-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL NGUYEN MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-685-0674",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "12178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.