Individual provider Active NPI

The Nguyen, DC

  • Chiropractor
  • Sacramento, CA
National Provider Identifier
1265717052
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC32111 Issued in CA
Practice address
1122 Corporate Way Suite 300
Sacramento, CA 95831-6125
Phone
(916) 395-5804
Fax
(916) 550-9831
NPI assigned
Oct 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC32111 CA Primary

Addresses

Primary practice location

1122 Corporate Way Suite 300
Sacramento, CA 95831-6125

Mailing address

1122 Corporate Way Suite 300
Sacramento, CA 95831-6125
Phone (916) 395-5804

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Sacramento Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131122000286 CA Practitioner - Chiropractic 1951537950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nguyen Chiropractic CorporationGroup PAC ID 7315173309, 2 clinicians

Practice addresses (Care Compare)

1122 Corporate Way
Suite 300
Sacramento, CA 95831-6125
Phone (916) 395-5804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC32111CAMDChiropractor
32111CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amwest Transport PastSince Feb 23, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1265717052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 CORPORATE WAY SUITE 300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958316125",
            "telephone_number": "916-395-5804",
            "fax_number": "916-550-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 CORPORATE WAY SUITE 300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958316125",
            "telephone_number": "916-395-5804",
            "fax_number": "916-550-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-12",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Sacramento",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1122 Corporate Way Suite 300",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.