Active NPI
Ellen B Nguyen, DDS
- Dentist
- Hayward, CA
National Provider Identifier
1134462971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS63935
- Practice address
- 22331 Mission Blvd
Hayward, CA 94541-3911 - Phone
- (510) 471-5880
- NPI assigned
- Mar 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS63935 | CA | Primary |
Addresses
Primary practice location
22331 Mission Blvd
Hayward, CA 94541-3911
Mailing address
22331 Mission Blvd
Hayward, CA 94541-3911
Phone (510) 471-5880
Other practice location 1
16110 E 14th St
Ashland, CA 94578-3002
Phone (510) 471-5880
Other practice location 2
28300 Huntwood Ave
Hayward, CA 94544-5425
Phone (510) 471-5880
Other practice location 3
33255 9th St
Union City, CA 94587-2137
Phone (510) 471-5880
Other practice location 4
680 W Tennyson Rd Rm 12
Hayward, CA 94544-5236
Phone (510) 471-5880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210524000000 | CA | Order and Referring Only - Dentist | 3779982806 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS63935 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiburcio Vasquez Health Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Hayward, CA
- NPI 1144597477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1134462971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22331 MISSION BLVD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945413911",
"telephone_number": "510-471-5880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22331 MISSION BLVD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945413911",
"telephone_number": "510-471-5880"
}
],
"practiceLocations": [
{
"address_1": "16110 E 14th St",
"address_purpose": "LOCATION",
"city": "Ashland",
"state": "CA",
"postal_code": "945783002",
"country_code": "US",
"telephone_number": "510-471-5880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "28300 Huntwood Ave",
"address_purpose": "LOCATION",
"city": "Hayward",
"state": "CA",
"postal_code": "945445425",
"country_code": "US",
"telephone_number": "510-471-5880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "33255 9th St",
"address_purpose": "LOCATION",
"city": "Union City",
"state": "CA",
"postal_code": "945872137",
"country_code": "US",
"telephone_number": "510-471-5880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "680 W Tennyson Rd Rm 12",
"address_purpose": "LOCATION",
"city": "Hayward",
"state": "CA",
"postal_code": "945445236",
"country_code": "US",
"telephone_number": "510-471-5880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "ELLEN",
"middle_name": "B",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-29",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS63935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.