Mai Phuong Nguyen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

64454 Issued in CA

Practice address

430 Edgley Dr
Monterey Park, CA 91755-3002

Phone

(626) 695-9887

NPI assigned

Jun 17, 2015

Last updated

Jun 17, 2015By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1346621299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 EDGLEY DR",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917553002",
            "telephone_number": "626-695-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 EDGLEY DR",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917553002",
            "telephone_number": "626-695-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MAI",
        "middle_name": "PHUONG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne My Nguyen, M.D.
• Brigitte Thao Hien Nguyen, PHARMD
• Dien M Nguyen, N.D.
• Duy Phong Nguyen, PHARMD
• Kevin Nguyen, DO
• My an Chau Nguyen, M.D.
• Vivian Nguyen, FNP
• Nicole Ward, a Professional Corporation
• Zetan Nie, M.D., PH.D.
• Nina Tsai, MD, Inc.

• Dentist in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.