Thanh Quynh Nguyen-Vu, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41859 Issued in CA

Practice address

1788 S San Gabriel Blvd
Suite 103
San Gabriel, CA 91776-3978

Phone

(626) 312-9533

Fax

(626) 312-9533

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306986096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1788 S SAN GABRIEL BLVD",
            "address_2": "SUITE 103",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763978",
            "telephone_number": "626-312-9533",
            "fax_number": "626-312-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 S SAN GABRIEL BLVD",
            "address_2": "SUITE 103",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763978",
            "telephone_number": "626-312-9533",
            "fax_number": "626-312-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN-VU",
        "first_name": "THANH",
        "middle_name": "QUYNH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL PROVIDER NUMBER",
            "identifier": "B41859",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonita H Sharma Ngan, PPS SCHOOLPSYCHOLOGY
• Beatrice Bich-Van Nghiem, RPH
• Hy Phung Ngo, MD
• Kiet Xuan Ngo, DDS
• Ngoc Tuan Nguyen MD Inc
• Aivan Nguyen, DDS
• Ngocthe T Nguyen, RN
• Steven Nguyen, DO
• Jennifer Thanh Nhan
• Tiffany My Hanh Nhan, L.AC.

• General Practice Dentistry in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.