NPIMap

Organization Active NPI

Nguyen T. DO, D.O., Inc

Doing business as Diablo Brain and Spine Center

  • Neurological Surgery Physician
  • Redding, CA
National Provider Identifier
1295265957
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
20A9031 Issued in CA
Legal business name
NGUYEN T. DO, D.O., INC
Doing business as
Diablo Brain and Spine Center
Practice address
2135 Airpark Dr Ste B
Redding, CA 96001-2414
Phone
(530) 605-4316
Fax
(530) 605-4318
NPI assigned
Jun 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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

Authorized official

Name
Dr. Nguyen Trong DO, DONPI 1861687873
Title
President
Phone
(925) 365-1519

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
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 20A9031 CA Primary

Addresses

Primary practice location

2135 Airpark Dr Ste B
Redding, CA 96001-2414

Mailing address

2301 Camino Ramon Ste 140
San Ramon, CA 94583-2000
Phone (925) 365-1519

Other names 1

  • Diablo Brain and Spine Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Diablo Brain and Spine Center2 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

2301 Camino Ramon
Ste 140
San Ramon, CA 94583
Phone (925) 365-1519

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": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1295265957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CAMINO RAMON STE 140",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832000",
            "telephone_number": "925-365-1519",
            "fax_number": "925-365-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 AIRPARK DR STE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012414",
            "telephone_number": "530-605-4316",
            "fax_number": "530-605-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN T. DO, D.O., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "NGUYEN",
        "authorized_official_middle_name": "TRONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-365-1519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "20A9031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diablo Brain and Spine Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diablo Brain and Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.