Individual provider Active NPI

Tam Nguyen

  • Foot & Ankle Surgery Podiatrist
  • Fullerton, CA
National Provider Identifier
1245685320
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5551 Issued in CA
Practice address
300 N Euclid St
Fullerton, CA 92832-1623
Phone
(714) 888-6860
NPI assigned
Apr 26, 2016
Last updated
Jan 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5551 CA Primary

Addresses

Primary practice location

300 N Euclid St
Fullerton, CA 92832-1623

Mailing address

300 N Euclid St
Fullerton, CA 92832-1623
Phone (714) 888-6860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191007002989 CA Practitioner - Podiatry 0042541922 Reassigns benefits to 1 organization
Practice locations: Glendale, CA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as group
Quality
62.38
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5551CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Foot and Ankle Group, Inc. Foot & Ankle Surgery CurrentSince Jan 11, 2022 Accepting new patients
Agoura-Los Robles Podiatry Centers Foot & Ankle Surgery CurrentSince Oct 18, 2023 Accepting new patients
Joseph Addiego Past Accepting new patients
Orange County Foot & Ankle Group, Inc. Foot & Ankle Surgery PastSince Jan 11, 2022 Accepting new patients
Michael a. Zapf, DPM Foot & Ankle Surgery PastSince Oct 18, 2023 Accepting new patients
Jittima Jirasetpatana Foot & Ankle Surgery Past Accepting new patients

Locations

5115 Clareton Dr
Ste 120
Agoura Hills, CA 91301
Phone (805) 497-6979

300 N Euclid St
Fullerton, CA 92832
Phone (714) 888-6860

300 N Euclid St
#A
Fullerton, CA 92832
Phone (714) 888-6860

125 Parrot Ln
Simi Valley, CA 93065
Phone (805) 497-6979

425 Haaland Dr
Ste 201
Thousand Oaks, CA 91361
Phone (805) 496-2383

555 Marin St
Ste 290
Thousand Oaks, CA 91360
Phone (805) 497-6979

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1245685320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N EUCLID ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321623",
            "telephone_number": "714-888-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N EUCLID ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321623",
            "telephone_number": "714-888-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-26",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.