Individual provider Active NPI

Tim Nguyentu, D.C

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1255436515
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 29987 Issued in CA
Practice address
6937 Linda Vista Rd
Ste E
San Diego, CA 92111-6366
Phone
(858) 274-8888
Fax
(858) 220-7526
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC13886 CA
Chiropractor 111N00000X DC 29987 CA Primary

Addresses

Primary practice location

6937 Linda Vista Rd
Ste E
San Diego, CA 92111-6366

Mailing address

6937 Linda Vista Rd
Ste E
San Diego, CA 92111-6366
Phone (858) 274-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080822000490 CA Practitioner - Chiropractic 8820162795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6937 Linda Vista Rd
Suite E
San Diego, CA 92111-6366
Phone (858) 279-3888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 29987CAMDChiropractor
AC13886CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Nguyentu Chiropractic, Inc. Chiropractor CurrentSince Apr 19, 2010 Accepting new patients

Locations

1816 Garnet Ave
San Diego, CA 92109
Phone (858) 274-8888

6937 Linda Vista Rd
Ste E
San Diego, CA 92111
Phone (858) 274-8888

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1255436515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6937 LINDA VISTA RD",
            "address_2": "STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921116366",
            "telephone_number": "858-274-8888",
            "fax_number": "858-220-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6937 LINDA VISTA RD",
            "address_2": "STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921116366",
            "telephone_number": "858-274-8888",
            "fax_number": "858-220-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYENTU",
        "first_name": "TIM",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13886",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 29987",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.