Calvin Nguyen, EMT

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

B201805308 Issued in VA

Practice address

12099 Government Center Pkwy
Fairfax, VA 22035-5501

Phone

(571) 242-2931

NPI assigned

Apr 26, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician

State licenses

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

{
    "created_epoch": "1587859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1174143580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42785 GENERATION DR APT 601",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474093",
            "telephone_number": "571-242-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12099 GOVERNMENT CENTER PKWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220355501",
            "telephone_number": "571-242-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CALVIN",
        "credential": "EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-26",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "VA",
            "license": "B201805308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NREMT",
            "identifier": "E3452375",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "http://www.hipaaspace.com/WebServices/HIPAASpaceMedicaidService.asmx",
            "affiliation": "Y",
            "endpointDescription": "http://www.hipaaspace.com/WebServices/HIPAASpaceMedicaidService.asmx",
            "affiliationName": "FairFax County",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8850 Richmond Hwy Fl 2",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223091586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anh Tram Nguyen, O.D.
• Bao Ngoc Nguyen, D.O.
• Ben L Nguyen, MD
• Bichlan Thi Nguyen, D.D.S.
• Binh Thanh Nguyen
• Calvin Khanh Nguyen, DDS
• Christina Nguyen, PHARMD
• Duyen Vu Khanh Nguyen
• Hallie Nguyen, O.D.
• Han Nguyen

• Emergency Medical Services (Emergency Medicine) Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.