Organization Active NPI

Diem T. Nguyen, DC a Profession Chiropractic Corporation

  • Chiropractor
  • Elk Grove, CA
National Provider Identifier
1366560658
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0277100 Issued in CA
Legal business name
DIEM T. NGUYEN, DC A PROFESSION CHIROPRACTIC CORPORATION
Practice address
7811 Laguna Blvd Ste 180
Elk Grove, CA 95758-7949
Phone
(916) 478-2634
Fax
(916) 478-2563
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Diem T Nguyen, DCNPI 1710960208
Title
Owner
Phone
(916) 478-2634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC0277100 CA Primary

Addresses

Primary practice location

7811 Laguna Blvd Ste 180
Elk Grove, CA 95758-7949

Mailing address

7811 Laguna Blvd Ste 180
Elk Grove, CA 95758-7949
Phone (916) 478-2634

Other identifiers 1

IdentifierTypeStateIssuer
DC0277100MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366560658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 LAGUNA BLVD STE 180",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587949",
            "telephone_number": "916-478-2634",
            "fax_number": "916-478-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 LAGUNA BLVD STE 180",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587949",
            "telephone_number": "916-478-2634",
            "fax_number": "916-478-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEM T. NGUYEN, DC A PROFESSION CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DIEM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-478-2634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0277100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0277100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

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

Verify at the official NPI Registry.