NPIMap

Organization Active NPI

My Linh Thi Nguyen DDS Inc

  • Dentist
  • La Puente, CA
National Provider Identifier
1376610717
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44043 Issued in CA
Legal business name
MY LINH THI NGUYEN DDS INC
Practice address
1840 N Hacienda Blvd
#5
La Puente, CA 91744
Phone
(626) 918-2833
Fax
(626) 931-2212
NPI assigned
Nov 29, 2006
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
My Linh Thi Nguyen, DDSNPI 1417125188
Title
Dentist President
Phone
(626) 918-2833

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 44043 CA Primary

Addresses

Primary practice location

1840 N Hacienda Blvd
#5
La Puente, CA 91744

Mailing address

1840 N Hacienda Blvd
#5
La Puente, CA 91744
Phone (626) 918-2833

Other identifiers 1

IdentifierTypeStateIssuer
G9187201OtherCAMEDI CAL

National Provider Directory

National Provider Directory

Locations

1840 N Hacienda Blvd
Ste 5
La Puente, CA 91744
Phone (626) 918-2833

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1376610717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 N HACIENDA BLVD",
            "address_2": "#5",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "91744",
            "telephone_number": "626-918-2833",
            "fax_number": "626-931-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N HACIENDA BLVD",
            "address_2": "#5",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "91744",
            "telephone_number": "626-918-2833",
            "fax_number": "626-931-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY LINH THI NGUYEN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MY LINH",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "626-918-2833",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "G9187201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.