Active NPI
Linda Nguyen, DDS
- General Practice Dentistry
- Glendale, CA
National Provider Identifier
1356494082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 41971
- Practice address
- 4106 San Fernando Rd Ste D
Glendale, CA 91204-3821 - Phone
- (323) 804-4098
- Fax
- (818) 549-2227
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 41971 | CA | Primary |
Addresses
Primary practice location
4106 San Fernando Rd Ste D
Glendale, CA 91204-3821
Mailing address
4106 San Fernando Rd Ste D
Glendale, CA 91204-3821
Phone (818) 549-2227
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G9136401 | Other | CA | DENTICAL PROVIDER NUMBER |
| D41971 | Other | CA | RENDERING PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41971 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda Nguyen DDS Inc | General Practice | Current | Accepting new patients |
Locations
4106 San Fernando Rd
Ste D
Glendale, CA 91204
Phone (323) 804-4098
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Glendale, CA
- NPI 1154474898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600732800000",
"number": "1356494082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4106 SAN FERNANDO RD STE D",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912043821",
"telephone_number": "818-549-2227",
"fax_number": "818-549-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4106 SAN FERNANDO RD STE D",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912043821",
"telephone_number": "323-804-4098",
"fax_number": "818-549-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LINDA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "41971",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICAL PROVIDER NUMBER",
"identifier": "G9136401",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RENDERING PROVIDER NUMBER",
"identifier": "D41971",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.