Active NPI
Trung X Nguyen, M.D.
- Anesthesiology Physician
- Orange, CA
National Provider Identifier
1174608046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G75649
- Practice address
- 681 S Parker St
Suite 150
Orange, CA 92868-4719 - Phone
- (714) 277-1900
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G75649 | CA | Primary |
Addresses
Primary practice location
681 S Parker St
Suite 150
Orange, CA 92868-4719
Mailing address
210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (714) 347-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G756490 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1174608046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N TUSTIN AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053807",
"telephone_number": "714-347-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "681 S PARKER ST",
"address_2": "SUITE 150",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684719",
"telephone_number": "714-277-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TRUNG",
"middle_name": "X",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G75649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G756490",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.