Individual provider Active NPI

Son X Nguyen, M.D.

  • Surgery Physician
  • Torrance, CA
National Provider Identifier
1326206848
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD431836 Issued in PA
Practice address
23451 Madison St
Suite 340
Torrance, CA 90505-4763
Phone
(310) 373-6864
Fax
(310) 373-9547
NPI assigned
May 30, 2008
Last updated
Jul 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD431836 PA Primary

Addresses

Primary practice location

23451 Madison St
Suite 340
Torrance, CA 90505-4763

Mailing address

23451 Madison St
Suite 340
Torrance, CA 90505-4763
Phone (310) 373-6864

Other identifiers 1

IdentifierTypeStateIssuer
MD431836OtherPAPENNSYLVANIA STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090402000569 CA Practitioner - General Surgery 1456408707 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD431836PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Association of South Bay Surgeons Surgery CurrentSince Aug 25, 2008 Accepting new patients
UCLA Medical Group Surgery Past Accepting new patients
Little Company of Mary Affiliated Services Inc Surgery Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

23451 Madison St
Ste 340
Torrance, CA 90505
Phone (310) 373-6864

Interoperability endpoints

  • Direct secure messaging: son.nguyen@southbaysurgeons.directbygreenway.com

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, 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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1326206848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST",
            "address_2": "SUITE 340",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054763",
            "telephone_number": "310-373-6864",
            "fax_number": "310-373-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST",
            "address_2": "SUITE 340",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054763",
            "telephone_number": "310-373-6864",
            "fax_number": "310-373-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SON",
        "middle_name": "X",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD431836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA STATE LICENSE",
            "identifier": "MD431836",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.