Jonathan Nguyen Medical Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JONATHAN NGUYEN MEDICAL CLINIC INC

Practice address

555 E Pacific Coast Hwy Ste 102
Long Beach, CA 90806-5579

Phone

(562) 591-3222

NPI assigned

Nov 5, 2019

Organization subpart

No

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

Authorized official

Name

Jonathan Tuan Nguyen, MDNPI 1023193125

Title

President

Phone

(562) 591-3222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Tuan Nguyen

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1023193125
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1144864992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E PACIFIC COAST HWY STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065579",
            "telephone_number": "562-591-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E PACIFIC COAST HWY STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065579",
            "telephone_number": "562-591-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN NGUYEN MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "TUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-591-3222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew William Jonas, LMFT
• Michael Jonas
• Jonathan Beroukhim DDS Inc
• Jonathan Brand a Professional Corporation
• Jonathan Hakakha DDS Inc
• Jonathan T Nguyen M.D Inc
• Jonathan T. Nguyen, M.D., Inc.
• Carla Dale Jones-Alt, LVN
• Cheryl Jones-Dix, LCSW
• Alyssa Marie Jones

• Internal Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.