Southbay Liberty Medical Group Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SOUTHBAY LIBERTY MEDICAL GROUP INC

Practice address

14571 Magnolia St Ste 107
Westminster, CA 92683-5575

Phone

(714) 903-9039

Fax

(714) 903-9439

NPI assigned

Feb 24, 2025

Last updated

Feb 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Huan Nguyen, MDNPI 1730101296

Title

Owner

Phone

(949) 588-2190

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Huan Huu Nguyen, M.D.

  • Anesthesiology Physician
  • Torrance, CA
  • NPI 1730101296
  Medicare reassignment NPD Authorized official
• Hung T. Nguyen, M.D.

  • Anesthesiology Physician
  • Fountain Valley, CA
  • NPI 1245211762
  NPD (past)

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1376349845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HOLLAND STE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182568",
            "telephone_number": "949-588-2190",
            "fax_number": "949-588-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14571 MAGNOLIA ST STE 107",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835575",
            "telephone_number": "714-903-9039",
            "fax_number": "714-903-9439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16543 Carmenita Rd",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907032218",
            "country_code": "US",
            "telephone_number": "562-281-8030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHBAY LIBERTY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-588-2190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla A Smith
• Meera Sohail, M.D
• Son Nguyen DDS, Inc (Lotus Dental Specialists)
• Alan Conway Sonne, M.D
• Stacie A Soucy, PHYSICAL THERAPIST
• Southern California Spine and Pain Institute
• Southland Integrated Services, Inc. (Integrated Community Services - Westminster)
• Speakeasy Therapy Center Inc.
• Specialized Orthopedic Anesthesia Group, Inc.
• Spectrum Vision Optometry, Inc.

• Anesthesiology Physician in Westminster, CA
• Providers in Westminster, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.