Individual provider Active NPI

Luong Nguyen, D.O

  • Family Medicine Physician
  • Pauma Valley, CA
National Provider Identifier
1144254228
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7102 Issued in CA
Practice address
16650 Highway 76
Pauma Valley, CA 92061-9524
Phone
(760) 742-9919
Fax
(760) 741-2782
NPI assigned
Jul 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A7102 CA Primary

Addresses

Primary practice location

16650 Highway 76
Pauma Valley, CA 92061-9524

Mailing address

425 N Date St
Escondido, CA 92025-3413
Phone (760) 737-2035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20A7102CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare- Pace Riverside PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Grossmont Pediatrics Operated by Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Chicago Clinica Medica Familiar Operated by Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCIHAA

Organizations & group practices 36

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144254228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N DATE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253413",
            "telephone_number": "760-737-2035",
            "fax_number": "760-741-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16650 HIGHWAY 76",
            "city": "PAUMA VALLEY",
            "state": "CA",
            "postal_code": "920619524",
            "telephone_number": "760-742-9919",
            "fax_number": "760-741-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LUONG",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pauma Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.