Organization Active NPI

Nguyen Huu, M.D., Inc

  • Internal Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1336110352
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A32220 Issued in CA
Legal business name
NGUYEN HUU, M.D., INC
Practice address
1220 Hemlock Way
Suite 102
Santa Ana, CA 92707-3650
Phone
(714) 957-0040
Fax
(714) 957-0768
NPI assigned
Jan 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Dr. Huu Nguyen, M.D.NPI 1396922068
Title
President
Phone
(714) 957-0040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X A32220 CA
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X A32220 CA Primary

Addresses

Primary practice location

1220 Hemlock Way
Suite 102
Santa Ana, CA 92707-3650

Mailing address

1220 Hemlock Way
Suite 102
Santa Ana, CA 92707-3650
Phone (714) 957-0040

Other identifiers 1

IdentifierTypeStateIssuer
00A322200MedicaidCA

Other names 1

  • HUU NGUYEN, M.D., INC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080409000308 CA Part B Supplier - Clinic/Group Practice 7810074267 Receives reassigned benefits from 2 practitioners
Practice locations: Santa Ana, CA

National Provider Directory

National Provider Directory

Locations

1220 Hemlock Way
Ste 102
Santa Ana, CA 92707
Phone (714) 957-0040

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1336110352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 HEMLOCK WAY",
            "address_2": "SUITE 102",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073650",
            "telephone_number": "714-957-0040",
            "fax_number": "714-957-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 HEMLOCK WAY",
            "address_2": "SUITE 102",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073650",
            "telephone_number": "714-957-0040",
            "fax_number": "714-957-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN HUU, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-28",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HUU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-957-0040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A32220",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A32220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A322200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HUU NGUYEN, M.D., INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.