Organization Active NPI

Ken C. Nguyen DPM a Podiatry Corporation

  • Foot & Ankle Surgery Podiatrist
  • La Mirada, CA
National Provider Identifier
1356538441
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4195 Issued in CA
Legal business name
KEN C. NGUYEN DPM A PODIATRY CORPORATION
Practice address
12263 La Mirada Blvd Ste a
La Mirada, CA 90638-1329
Phone
(562) 946-3338
Fax
(562) 946-3553
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Authorized official

Name
Dr. Ken Cuong Nguyen, DPM
Title
President
Phone
(562) 946-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E4195 CA Primary

Addresses

Primary practice location

12263 La Mirada Blvd Ste a
La Mirada, CA 90638-1329

Mailing address

12263 La Mirada Blvd Ste a
La Mirada, CA 90638-1329
Phone (562) 946-3338

National Provider Directory

National Provider Directory

Locations

12263 La Mirada Blvd
La Mirada, CA 90638
Phone (562) 946-3338

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1356538441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12263 LA MIRADA BLVD STE A",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381329",
            "telephone_number": "562-946-3338",
            "fax_number": "562-946-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12263 LA MIRADA BLVD STE A",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381329",
            "telephone_number": "562-946-3338",
            "fax_number": "562-946-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN C. NGUYEN DPM A PODIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "CUONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-946-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mirada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.