Adrienne My-Tram Nguyen, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

64884 Issued in CA

Practice address

3775 Beacon Ave Ste 100
Fremont, CA 94538-1466

Phone

(510) 791-0971

NPI assigned

Aug 5, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1326424003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 BARRON AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943062613",
            "telephone_number": "650-353-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 BEACON AVE STE 100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381466",
            "telephone_number": "510-791-0971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 N Winchester Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950505749",
            "country_code": "US",
            "telephone_number": "408-249-5121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ADRIENNE",
        "middle_name": "MY-TRAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "64884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren Thanh Liem Ngo, MS, MAT, PA-C, ATC
• Lily Le Ngo, MD
• Trang T Ngo, MD
• Van Ngo, M.S.
• Mary Nguyen DO
• Ailinh Nguyen
• Alex T Nguyen
• Benjamin Vinh Nguyen, PHARMD
• Bich Nguyen
• Brian Tuan Nguyen, PHARMD

• Pediatric Dentistry in Fremont, CA
• Providers in Fremont, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.