Organization Active NPI

Tung Huu Nguyen MD Inc

  • Cardiovascular Disease Physician
  • Westminster, CA
National Provider Identifier
1164849857
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A105800 Issued in CA
Legal business name
TUNG HUU NGUYEN MD INC
Practice address
9822 Bolsa Ave Ste F
Westminster, CA 92683-6870
Phone
(714) 775-7000
Fax
(714) 775-5200
NPI assigned
Mar 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Authorized official

Name
Tung Huu Nguyen, M.D.NPI 1700038577
Title
President
Phone
(714) 775-7000

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A105800 CA Primary

Addresses

Primary practice location

9822 Bolsa Ave Ste F
Westminster, CA 92683-6870

Mailing address

9822 Bolsa Ave Ste F
Westminster, CA 92683-6870
Phone (714) 775-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140612000871 CA Part B Supplier - Clinic/Group Practice 2062636012 Receives reassigned benefits from 1 practitioner
Practice locations: Westminster, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2077901Tung Huu Nguyen MD Inc9822 Bolsa Ave Ste F, Westminster, CA 92683Certificate of waiverMay 15, 2028

National Provider Directory

National Provider Directory

Locations

9822 Bolsa Ave
Ste F
Westminster, CA 92683
Phone (714) 725-0239

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": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1164849857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9822 BOLSA AVE STE F",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836870",
            "telephone_number": "714-775-7000",
            "fax_number": "714-775-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9822 BOLSA AVE STE F",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836870",
            "telephone_number": "714-775-7000",
            "fax_number": "714-775-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUNG HUU NGUYEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TUNG",
        "authorized_official_middle_name": "HUU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-775-7000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A105800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.