Active NPI
John An Nguyen
- Student in an Organized Health Care Education/Training Program
- Los Angeles, CA
National Provider Identifier
1164058244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 757 Westwood Plaza
Room 3108
Los Angeles, CA 90095-1752 - Phone
- (310) 267-9132
- NPI assigned
- Mar 20, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
757 Westwood Plaza
Room 3108
Los Angeles, CA 90095-1752
Mailing address
757 Westwood Plaza Box 951752, 3108 Rrumc
Los Angeles, CA 90095-1752
Phone (310) 267-9132
Other practice location 1
225 E Chicago Ave
Chicago, IL 60611-2991
Phone (360) 601-0486
Other practice location 2
586 Pioneer Dr
Rochester, MI 48309-4482
Phone (248) 370-2067
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240508002927 | CA | Order and Referring Only - Neurology | 3678914611 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616803200000",
"number": "1164058244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 WESTWOOD PLAZA BOX 951752, 3108 RRUMC",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900951752",
"telephone_number": "310-267-9132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 WESTWOOD PLAZA",
"address_2": "ROOM 3108",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900951752",
"telephone_number": "310-267-9132"
}
],
"practiceLocations": [
{
"address_1": "225 E Chicago Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112991",
"country_code": "US",
"telephone_number": "360-601-0486",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "586 Pioneer Dr",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MI",
"postal_code": "483094482",
"country_code": "US",
"telephone_number": "248-370-2067",
"fax_number": "248-370-3126",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "JOHN",
"middle_name": "AN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-20",
"last_updated": "2021-03-27",
"certification_date": "2021-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2021; 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.