Individual provider Active NPI

Ricky Nguyen, DC

  • Chiropractor
  • Garden Grove, CA
National Provider Identifier
1316692429
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36114 Issued in CA
Practice address
10961 Westminster Ave Ste Apt
Garden Grove, CA 92843-4929
Phone
(714) 636-1744
Fax
(714) 844-9249
NPI assigned
Feb 16, 2022
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36114 CA Primary

Addresses

Primary practice location

10961 Westminster Ave Ste Apt
Garden Grove, CA 92843-4929

Mailing address

10961 Westminster Ave Ste Apt
Garden Grove, CA 92843-4929
Phone (714) 636-1744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36114CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ricky Nguyen Corporation, Inc Chiropractor Current Accepting new patients

Locations

10961 Westminster Ave
Garden Grove, CA 92843
Phone (714) 636-1744

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1316692429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10961 WESTMINSTER AVE STE APT",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434929",
            "telephone_number": "714-636-1744",
            "fax_number": "714-844-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10961 WESTMINSTER AVE STE APT",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434929",
            "telephone_number": "714-636-1744",
            "fax_number": "714-844-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "RICKY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36114",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 16, 2022; 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.