Active NPI
Bryant Nguyen, MD, PC
- Cardiovascular Disease Physician
- La Mesa, CA
National Provider Identifier
1316347040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A117314
- Legal business name
- BRYANT NGUYEN, MD, PC
- Practice address
- 8851 Center Dr Ste 405
La Mesa, CA 91942-3198 - Phone
- (619) 567-4050
- Fax
- (619) 568-3889
- NPI assigned
- Aug 29, 2014
- Last updated
- Jun 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bryant H Nguyen, M.D.
- Title
- President
- Phone
- (925) 249-9510
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A117314 | CA | Primary |
Addresses
Primary practice location
8851 Center Dr Ste 405
La Mesa, CA 91942-3198
Mailing address
PO Box 626
Great River, NY 11739-0626
Phone (631) 892-2745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- La Mesa, CA
- NPI 1902085426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719273600000",
"number": "1316347040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 626",
"city": "GREAT RIVER",
"state": "NY",
"postal_code": "117390626",
"telephone_number": "631-892-2745",
"fax_number": "631-201-3179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8851 CENTER DR STE 405",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423198",
"telephone_number": "619-567-4050",
"fax_number": "619-568-3889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYANT NGUYEN, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-29",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "BRYANT",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "925-249-9510",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A117314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.