Active NPI
Linh Bao Nguyen, M.D.
- Family Medicine Physician
- Pinellas Park, FL
National Provider Identifier
1194761510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME83186
- Practice address
- 5265 Park Blvd
Suite 100
Pinellas Park, FL 33781-3451 - Phone
- (727) 545-9590
- Fax
- (727) 548-8590
- NPI assigned
- Jun 22, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME83186 | FL | |
| Family Medicine Physician | 207Q00000X | ME83186 | FL | Primary |
Addresses
Primary practice location
5265 Park Blvd
Suite 100
Pinellas Park, FL 33781-3451
Mailing address
5265 Park Blvd
Suite 100
Pinellas Park, FL 33781-3451
Phone (727) 545-9590
Other practice location 1
4809 N Armenia Ave Ste 240
Tampa, FL 33603-1447
Phone (813) 515-6905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262389700 | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph's Community Care Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Total Health Care Family Medicine
- Family Medicine Physician
- Pinellas Park, FL
- NPI 1053356949
-
- Family Medicine Physician
- Tampa, FL
- NPI 1003946591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550102400000",
"number": "1194761510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5265 PARK BLVD",
"address_2": "SUITE 100",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337813451",
"telephone_number": "727-545-9590",
"fax_number": "727-548-8590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5265 PARK BLVD",
"address_2": "SUITE 100",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337813451",
"telephone_number": "727-545-9590",
"fax_number": "727-548-8590"
}
],
"practiceLocations": [
{
"address_1": "4809 N Armenia Ave Ste 240",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336031447",
"country_code": "US",
"telephone_number": "813-515-6905",
"fax_number": "813-515-6946",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "LINH",
"middle_name": "BAO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2019-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME83186",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME83186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "262389700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.