Active NPI
Trang Minh Nguyen, DDS
- General Practice Dentistry
- Rosemead, CA
National Provider Identifier
1245300318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 41968
- Practice address
- 9246 Valley Blvd
Suite C
Rosemead, CA 91770-1922 - Phone
- (626) 573-3654
- Fax
- (626) 573-3754
- NPI assigned
- Nov 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 41968 | CA | Primary |
Addresses
Primary practice location
9246 Valley Blvd
Suite C
Rosemead, CA 91770-1922
Mailing address
9246 Valley Blvd
Suite C
Rosemead, CA 91770-1922
Phone (626) 573-3654
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B41968-02 | Other | CA | DENTI-CAL PROVIDER # |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41968 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245300318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9246 VALLEY BLVD",
"address_2": "SUITE C",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917701922",
"telephone_number": "626-573-3654",
"fax_number": "626-573-3754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9246 VALLEY BLVD",
"address_2": "SUITE C",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917701922",
"telephone_number": "626-573-3654",
"fax_number": "626-573-3754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TRANG",
"middle_name": "MINH",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "41968",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL PROVIDER #",
"identifier": "B41968-02",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rosemead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.