Nam Le Nguyen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

96512 Issued in CA

Practice address

417 E Pico Blvd Ste 103
Los Angeles, CA 90015-3194

Phone

(714) 800-9653

NPI assigned

Dec 5, 2007

Sex

Male

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

Enrolled in AZ

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

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1366624942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 E PICO BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153194",
            "telephone_number": "714-800-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E PICO BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153194",
            "telephone_number": "714-800-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NAM",
        "middle_name": "LE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "96512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minhtri Khac Nguyen, MD
• Monika Dao Nguyen
• Monique Huynh Nguyen, LCSW, PPSC
• My Nguyen
• Mythi Nguyen, NP
• Nam Xuan Nguyen, MD
• Nancy Kim Oanh Nguyen
• Nancy Thanh Tam Nguyen, RDH
• Nancy Tram Nguyen, PHARMD
• Natalie Mai-Anh Nguyen, DO

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.