Active NPI
Tan Van Nguyen, M.D.
- Pediatrics Physician
- S El Monte, CA
National Provider Identifier
1326073644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 00A053027
- Practice address
- 9646 Garvey Ave Ste 101
S El Monte, CA 91733-4600 - Phone
- (626) 450-0777
- Fax
- (626) 450-0776
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 00A053027 | CA | Primary |
Addresses
Primary practice location
9646 Garvey Ave Ste 101
S El Monte, CA 91733-4600
Mailing address
9646 Garvey Ave Ste 101
S El Monte, CA 91733-4600
Phone (626) 450-0777
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53027 | CA | MD | General Practice Dentistry |
| 00A053027 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tan Van Nguyen MD, Inc. | Current | Accepting new patients | |
| Ahmc San Gabriel Valley Medical | Past | Accepting new patients | |
| Ahmc Greater El Monte Comm Hosp LLC | Past | Accepting new patients | |
| San Gabriel Valley Health Inc. | Past | Accepting new patients | |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients |
Locations
9646 Garvey Ave
Ste 101
South El Monte, CA 91733
Phone (626) 450-0777
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- S El Monte, CA
- NPI 1770633133
-
dba Greater El Monte Comm Hosp
- Community/Retail Pharmacy
- South El Monte, CA
- NPI 1922115526
-
dba AHMC San Gabriel Valley Medical Center
- Skilled Nursing Facility
- San Gabriel, CA
- NPI 1710174818
-
dba Huntington Hospital
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
-
dba Anh Tuan Ngo M.D.
- Family Medicine Physician
- South El Monte, CA
- NPI 1740862705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326073644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9646 GARVEY AVE STE 101",
"city": "S EL MONTE",
"state": "CA",
"postal_code": "917334600",
"telephone_number": "626-450-0777",
"fax_number": "626-450-0776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9646 GARVEY AVE STE 101",
"city": "S EL MONTE",
"state": "CA",
"postal_code": "917334600",
"telephone_number": "626-450-0777",
"fax_number": "626-450-0776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TAN",
"middle_name": "VAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "00A053027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in S El Monte, CA
Sources for this page
- 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.