Organization Active NPI

Tuan Duc Nguyen Chiropractic Inc.

  • Chiropractor
  • Garden Grove, CA
National Provider Identifier
1285861724
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
22941 Issued in CA
Legal business name
TUAN DUC NGUYEN CHIROPRACTIC INC.
Practice address
10666 Chapman Ave # 3
Garden Grove, CA 92840-3103
Phone
(714) 554-5304
Fax
(714) 554-6052
NPI assigned
Jun 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Tuan Duc Nguyen, DCNPI 1326119090
Title
President
Phone
(714) 554-5304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 22941 CA Primary

Addresses

Primary practice location

10666 Chapman Ave # 3
Garden Grove, CA 92840-3103

Mailing address

PO Box 280
Atwood, CA 92811-0280
Phone (714) 554-5304

Other identifiers 5

IdentifierTypeStateIssuer
DC22941OtherCACAL OPTIMA
DC22941OtherCAONE CARE
DC22941OtherPPO, HMO PRIVATE HEALTH INSURANCE
DC22941OtherCAMEDICARE DIRECT
DC229410MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090916000091 CA Part B Supplier - Clinic/Group Practice 4183770159 Receives reassigned benefits from 1 practitioner
Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory
Tax ID family
Tuan Duc Nguyen Chiropractic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10666 Chapman Ave
Ste 3
Garden Grove, CA 92840
Phone (714) 554-5304

10666 Chapman Ave
#3
Garden Grove, CA 92840
Phone (714) 554-5304

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1285861724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "ATWOOD",
            "state": "CA",
            "postal_code": "928110280",
            "telephone_number": "714-554-5304",
            "fax_number": "714-554-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10666 CHAPMAN AVE # 3",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928403103",
            "telephone_number": "714-554-5304",
            "fax_number": "714-554-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUAN DUC NGUYEN CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "DUC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-554-5304",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "22941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAL OPTIMA",
            "identifier": "DC22941",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE CARE",
            "identifier": "DC22941",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO, HMO PRIVATE HEALTH INSURANCE",
            "identifier": "DC22941",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DIRECT",
            "identifier": "DC22941",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC229410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.