Dat William Nguyen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A83262 Issued in CA

Practice address

5565 Grossmont Center Dr Ste 229
La Mesa, CA 91942-3026

Phone

(858) 349-3760

Fax

(619) 262-8964

NPI assigned

Nov 15, 2005

Sex

Male

Sole proprietor

Yes

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 CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carbon Medical Center

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1609678226
  Medicare reassignment NPD Authorized official
• Datnguyen MD Inc

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1215977723
  Medicare reassignment NPD Authorized official
• Careconnectmd Ca PC

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1366063125
  Medicare reassignment NPD
• Dat William Nguyen MD Inc

  • Family Medicine Physician
  • La Jolla, CA
  • NPI 1114671799
  NPD Authorized official
• San Diego Hospitalist Network, a.P.C.

  • Internal Medicine Physician
  • La Mesa, CA
  • NPI 1356894067
  Authorized official Same address or phone
• D William Nguyen MD Apc

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1457032732
  NPD (past)
• Paradise Valley Hospital

  • General Acute Care Hospital
  • National City, CA
  • NPI 1598756710
  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1386626448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8005",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920678005",
            "telephone_number": "858-349-3760",
            "fax_number": "619-262-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 229",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423026",
            "telephone_number": "858-349-3760",
            "fax_number": "619-262-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DAT",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A83262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thuy Vu Nghiem
• Allisen Quynh Nhu Pham Nguyen, MD
• Angel Nguyen, PA-C
• April H Nguyen
• Bryant H Nguyen, MD
• Dung Hao Nguyen, PHARM.D.
• Dustin Trong Nguyen, PHARM.D.
• Jennifer T Nguyen, DDS
• Jessica Duong Nguyen, D.D.S.
• Kimberly Nguyen, M.D.

• Family Medicine Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.