Active NPI
Huong Quynh Nguyen, M.D.
- Pediatric Endocrinology Physician
- Fresno, CA
National Provider Identifier
1255471975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- A95369
- Practice address
- 7055 N Chestnut Ave
Suite 103
Fresno, CA 93720-0350 - Phone
- (559) 840-2170
- Fax
- (559) 840-1204
- NPI assigned
- Feb 8, 2007
- Last updated
- Jul 10, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | A95369 | CA | Primary |
Addresses
Primary practice location
7055 N Chestnut Ave
Suite 103
Fresno, CA 93720-0350
Mailing address
7055 N Chestnut Ave
Suite 103
Fresno, CA 93720-0350
Phone (559) 840-2170
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2005033053 | Other | MO | MISSOURI MEDICAL LICENSE |
| 04-30962 | Other | KS | KANSAS MEDICAL LICENSE |
Other names 1
- Huong Nguyen Baraghani
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A95369 | CA | MD | Pediatric Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Children's Specialty Medical Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EBIFBA/Endpoint/EBIFBA
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 Koala Pediatric Endocrinology & Diabetes, Inc.
- Specialist
- Fresno, CA
- NPI 1407097561
-
- Pediatrics Physician
- Madera, CA
- NPI 1013968296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247184000000",
"number": "1255471975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7055 N CHESTNUT AVE",
"address_2": "SUITE 103",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200350",
"telephone_number": "559-840-2170",
"fax_number": "559-840-1204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7055 N CHESTNUT AVE",
"address_2": "SUITE 103",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200350",
"telephone_number": "559-840-2170",
"fax_number": "559-840-1204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HUONG",
"middle_name": "QUYNH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2009-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "CA",
"license": "A95369",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI MEDICAL LICENSE",
"identifier": "2005033053",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS MEDICAL LICENSE",
"identifier": "04-30962",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HUONG",
"last_name": "BARAGHANI",
"middle_name": "NGUYEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.