Organization Active NPI

Linda Nguyen DDS Inc

  • General Practice Dentistry
  • Glendale, CA
National Provider Identifier
1154474898
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41971 Issued in CA
Legal business name
LINDA NGUYEN DDS INC
Practice address
4106 San Fernando Rd Ste D
Glendale, CA 91204-3821
Phone
(323) 804-4098
Fax
(818) 549-2229
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Linda NguyenNPI 1356494082
Title
President
Phone
(818) 549-2227

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 41971 CA Primary

Addresses

Primary practice location

4106 San Fernando Rd Ste D
Glendale, CA 91204-3821

Mailing address

4106 San Fernando Rd Ste D
Glendale, CA 91204-3821
Phone (818) 549-2227

Other identifiers 1

IdentifierTypeStateIssuer
G9136401OtherCADENTICAL PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

4106 San Fernando Rd
Ste D
Glendale, CA 91204
Phone (323) 804-4098

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1154474898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 SAN FERNANDO RD STE D",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043821",
            "telephone_number": "818-549-2227",
            "fax_number": "818-549-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 SAN FERNANDO RD STE D",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043821",
            "telephone_number": "323-804-4098",
            "fax_number": "818-549-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA NGUYEN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-549-2227"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL PROVIDER NUMBER",
            "identifier": "G9136401",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.