Mai Phuong Thuy Nguyen, MD

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

License

G070301 Issued in CA

Practice address

10356 Donner Pass Road
Truckee, CA 96162

Phone

(530) 587-5877

Fax

(530) 587-5877

NPI assigned

May 18, 2007

Reactivated

Dec 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mai Nguyen Other name

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• County of Nevada

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grass Valley, CA
  • NPI 1982620399
  Medicare reassignment

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1275741969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10047",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "96162",
            "telephone_number": "530-587-5877",
            "fax_number": "530-582-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10356 DONNER PASS ROAD",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "96162",
            "telephone_number": "530-587-5877",
            "fax_number": "530-587-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MAI PHUONG",
        "middle_name": "THUY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-12-28",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "CA",
            "license": "G070301",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G070301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAI",
            "last_name": "NGUYEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Monica Neff, MD
• Philip Raymond Atalig Nekai, MS, LPCC
• Darryl Neufeld
• Kayla Neumann, DPT, PT
• Jennifer Nguyen Chew
• Eric Nickel
• Darcy Dean Norman, PT, ATC, CSCS
• Joseph Norris, BOCO
• North Lake Pediatrics Medical Group, Inc.
• North Tahoe Orthopedics

• Psychosomatic Medicine Physician in Truckee, CA
• Providers in Truckee, CA by specialty
• Psychosomatic Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.