Individual provider Active NPI

Tuan Duc Nguyen, D.C

  • Chiropractor
  • Garden Grove, CA
National Provider Identifier
1326119090
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
22941 Issued in CA
Practice address
10666 Chapman Ave # 3
Garden Grove, CA 92840-3103
Phone
(714) 554-5304
Fax
(714) 554-6052
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 22941 CA Primary

Addresses

Primary practice location

10666 Chapman Ave # 3
Garden Grove, CA 92840-3103

Mailing address

PO Box 280
Atwood, CA 92811-0280
Phone (714) 554-5304

Other identifiers 2

IdentifierTypeStateIssuer
DC0229410MedicaidCA
DC22941OtherCACALOPTIMA, BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090910000459 CA Practitioner - Chiropractic 4880749183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10666 Chapman Ave
Suite 3
Garden Grove, CA 92840-3103
Phone (714) 554-5304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tuan Duc Nguyen Chiropractic Inc. Chiropractor CurrentSince Jun 18, 2009 Accepting new patients
Good Samaritan Chiropractic Inc Chiropractor Past Accepting new patients
Tuan Duc Nguyen DC, LLC Chiropractor Past Accepting new patients
Mariarx Inc Past Accepting new patients

Locations

10666 Chapman Ave
Ste 3
Garden Grove, CA 92840
Phone (714) 554-5304

10666 Chapman Ave
#3
Garden Grove, CA 92840
Phone (714) 554-5304

13872 Harbor Blvd
Ste 1A-1
Garden Grove, CA 92843
Phone (714) 210-1300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1326119090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "ATWOOD",
            "state": "CA",
            "postal_code": "928110280",
            "telephone_number": "714-554-5304",
            "fax_number": "714-554-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10666 CHAPMAN AVE # 3",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928403103",
            "telephone_number": "714-554-5304",
            "fax_number": "714-554-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TUAN",
        "middle_name": "DUC",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "22941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0229410",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALOPTIMA, BLUESHIELD",
            "identifier": "DC22941",
            "state": "CA"
        }
    ],
    "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 Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.