Active NPI
Tony Tan Nguyen MD Inc
- Internal Medicine Physician
- San Diego, CA
National Provider Identifier
1235216417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- TONY TAN NGUYEN MD INC
- Practice address
- 302 Washington St
#116
San Diego, CA 92103-2110 - Phone
- (866) 284-2771
- Fax
- (800) 334-1041
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tan The Nguyen, M.D.
- Title
- Owner
- Phone
- (858) 754-1114
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
302 Washington St
#116
San Diego, CA 92103-2110
Mailing address
302 Washington St
#116
San Diego, CA 92103-2110
Phone (858) 754-1114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G671191 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411948800000",
"number": "1235216417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 WASHINGTON ST",
"address_2": "#116",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032110",
"telephone_number": "858-754-1114",
"fax_number": "858-754-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 WASHINGTON ST",
"address_2": "#116",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032110",
"telephone_number": "866-284-2771",
"fax_number": "800-334-1041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TONY TAN NGUYEN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2014-09-29",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "TAN",
"authorized_official_middle_name": "THE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "858-754-1114",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G671191",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.