Si Tan Nguyen Sr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30262 Issued in CA

Practice address

9211 Bolsa Ave
#210
Westminster, CA 92683-5570

Phone

(714) 893-1010

Fax

(714) 893-0806

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jason T Cao DDS. Inc.

  • General Practice Dentistry
  • Westminster, CA
  • NPI 1679903314
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336202290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 BOLSA AVE",
            "address_2": "#210",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835570",
            "telephone_number": "714-893-1010",
            "fax_number": "714-893-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 BOLSA AVE",
            "address_2": "#210",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835570",
            "telephone_number": "714-893-1010",
            "fax_number": "714-893-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SI",
        "middle_name": "TAN",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "30262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Ducdat Nguyen, DDS
• Ryan Duy Nguyen, DPT
• Ryan Synhan Nguyen, DDS
• Sheri Mai Nguyen, O.D.
• Si Khanh Nguyen
• Son V Nguyen, D.D.S
• Stacey Nguyen
• Stephanie Thuy Nguyen, PHARMD
• Summer Nguyen, PA-C
• Tai Nguyen

• Dentist in Westminster, CA
• Providers in Westminster, CA by specialty
• Dentist in California

• 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.

Verify at the official NPI Registry.