Becky Le Nguyen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

108061 Issued in CA

Practice address

3540 Callan Blvd Ste 201
South San Francisco, CA 94080-5100

Phone

(650) 878-0651

NPI assigned

Apr 15, 2022

Last updated

Jan 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Dela Rama a&M Dental Corporation

  • Dental Clinic/Center
  • South San Francisco, CA
  • NPI 1104419670
  NPD

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1275276412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 CALLAN BLVD STE 201",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 CALLAN BLVD STE 201",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805100",
            "telephone_number": "650-878-0651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 E Julian St",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951124007",
            "country_code": "US",
            "telephone_number": "408-918-2626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BECKY",
        "middle_name": "LE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108061",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Ngo
• Ky Vy Ngo
• Vue Ngoy, RRT, RCP, CRT
• Evelyne Nguyen Van Mau
• Audrey Nguyen
• Michael Nguyen
• Richard Bao Nguyen, OD
• Thao Thanh Nguyen, PHARMD
• Vickie Nguyen, PHARMD
• Nha Inc (North Peninsula Medical Spa)

• Dentist in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.