NPIMap

Organization Active NPI

Vincent Dat Nguyen Inc.

  • Family Medicine Physician
  • Buena Park, CA
National Provider Identifier
1376818872
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6429 Issued in CA
Legal business name
VINCENT DAT NGUYEN INC.
Practice address
5300 Beach Blvd
110-428
Buena Park, CA 90621-1250
Phone
(714) 267-7000
NPI assigned
Mar 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Dr. Vincent D Nguyen, D.O.
Title
President
Phone
(714) 267-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A6429 CA Primary

Addresses

Primary practice location

5300 Beach Blvd
110-428
Buena Park, CA 90621-1250

Mailing address

5300 Beach Blvd
110-428
Buena Park, CA 90621-1250
Phone (714) 267-7000

Other identifiers 1

IdentifierTypeStateIssuer
00AX64290MedicaidCA

National Provider Directory

National Provider Directory

Locations

5300 Beach Blvd
#110428
Buena Park, CA 90621
Phone (714) 267-7000

19582 Beach Blvd
Ste 321
Huntington Beach, CA 92648
Phone (714) 378-2401

Practitioners & affiliated clinicians

Practitioners 10

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": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1376818872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 BEACH BLVD",
            "address_2": "110-428",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211250",
            "telephone_number": "714-267-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 BEACH BLVD",
            "address_2": "110-428",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211250",
            "telephone_number": "714-267-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT DAT NGUYEN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-267-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX64290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.