Organization Active NPI

Joseph Nguyen DO Inc

  • Family Medicine Physician
  • Westminster, CA
National Provider Identifier
1366717084
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A11005 Issued in CA
Legal business name
JOSEPH NGUYEN DO INC
Practice address
14571 Magnolia St Ste 105
Westminster, CA 92683-5575
Phone
(714) 892-1313
Fax
(714) 891-8799
NPI assigned
Mar 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Authorized official

Name
Joseph Nguyen, DONPI 1952600850
Title
DO/Owner
Phone
(714) 230-2269

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A11005 CA Primary

Addresses

Primary practice location

14571 Magnolia St Ste 105
Westminster, CA 92683-5575

Mailing address

14132 Swan St
Westminster, CA 92683-4734

Other identifiers 1

IdentifierTypeStateIssuer
20A11005OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160122002292 CA Part B Supplier - Clinic/Group Practice 7214230390 Receives reassigned benefits from 1 practitioner
Practice locations: Westminster, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2069091Joseph Nguyen, DO14571 Magnolia St Ste 105, Westminster, CA 92683Certificate of waiverNov 17, 2027

National Provider Directory

National Provider Directory

Locations

14571 Magnolia St
Ste 105
Westminster, CA 92683
Phone (714) 614-1155

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": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1366717084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14132 SWAN ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14571 MAGNOLIA ST STE 105",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835575",
            "telephone_number": "714-892-1313",
            "fax_number": "714-891-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH NGUYEN DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DO/OWNER",
        "authorized_official_telephone_number": "714-230-2269",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A11005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "20A11005",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.