Dr. Roger L. Nguyen, a Corporation

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

A68125 Issued in CA

Legal business name

DR. ROGER L. NGUYEN, A CORPORATION

Practice address

9746 Westminster Ave Ste a
Garden Grove, CA 92844-2984

Phone

(714) 638-4433

NPI assigned

Aug 25, 2017

Last updated

Aug 25, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roger NguyenNPI 1982625430

Title

Owner

Phone

(714) 638-4433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Dr Roger L Nguyen a Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Roger Nguyen, a Corporation

  • Allergy & Immunology Physician
  • Garden Grove, CA
  • NPI 1629594759
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roger Linh Nguyen, M.D

  • Allergy Physician
  • Garden Grove, CA
  • NPI 1982625430
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503619200000",
    "number": "1184141566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4139",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907408139",
            "telephone_number": "714-638-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9746 WESTMINSTER AVE STE A",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442984",
            "telephone_number": "714-638-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROGER L. NGUYEN, A CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-638-4433",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "A68125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allergy Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Allergy Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.