Briana Nguyen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110589 Issued in CA

Practice address

962 Sepulveda Blvd
Harbor City, CA 90710-1405

Phone

(310) 539-3245

NPI assigned

Sep 14, 2024

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

Practice roles

Locations

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.

• Walter Jefferson Dental Corporation

  • General Practice Dentistry
  • Harbor City, CA
  • NPI 1437700952

  General Practice

  NPD

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

{
    "created_epoch": "1726272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1356178479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12560 HASTER ST SPC 108",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928406029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 SEPULVEDA BLVD",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907101405",
            "telephone_number": "310-539-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BRIANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-14",
        "last_updated": "2024-09-14",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Pham Ngo, PHARMD
• Nhi Ngo, PHARMD
• Tam Ngo, DO
• Bich-Thuy Dat Nguyen, MD
• Brian-Linh Duy Nguyen, MD
• Christine CHI Nguyen, LCSW
• Dan Quoc Nguyen, DO
• David M. Nguyen, MD
• Duc CHI Nguyen, M.D.
• Irene Nguyen

• All providers in Harbor City, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.