Individual provider Active NPI

Thuy-Anh Pham Nguyen, D.D.S.

  • General Practice Dentistry
  • Irvine, CA
National Provider Identifier
1346485752
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47140 Issued in CA
Practice address
4950 Barranca Pkwy Ste 309
Irvine, CA 92604-4631
Phone
(949) 552-5055
NPI assigned
Dec 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 47140 CA Primary

Addresses

Primary practice location

4950 Barranca Pkwy Ste 309
Irvine, CA 92604-4631

Mailing address

4950 Barranca Pkwy Ste 309
Irvine, CA 92604-4631
Phone (949) 552-5055

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180621000624 CA Practitioner - Oral Surgery 0345595047 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
47140CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thuy-Anh P. Nguyen, DDS, Inc. General Practice CurrentSince May 9, 2018 Accepting new patients
Frank S. Seo, DDS, MPH, Inc. PastSince May 9, 2018 Accepting new patients

Locations

4950 Barranca Pkwy
Ste 309
Irvine, CA 92604
Phone (949) 552-5055

Organizations & group practices 2

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": "1229212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1346485752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 BARRANCA PKWY STE 309",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044631",
            "telephone_number": "949-552-5055",
            "fax_number": "949-552-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 BARRANCA PKWY STE 309",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044631",
            "telephone_number": "949-552-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THUY-ANH",
        "middle_name": "PHAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-14",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.