Organization Active NPI

Theresa Thanh Ngoc Nguyen, MD, Inc.

  • Medical Specialty Clinic/Center
  • Westminster, CA
National Provider Identifier
1386863454
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A61129 Issued in CA
Legal business name
THERESA THANH NGOC NGUYEN, MD, INC.
Practice address
15556 Brookhurst St
Westminster, CA 92683-7571
Phone
(714) 775-8090
Fax
(714) 775-2998
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Authorized official

Name
Theresa Thanh N Nguyen, M.D.NPI 1003893801
Title
Owner
Phone
(714) 775-8090

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
Medical Specialty Clinic/Center 261QM2500X A61129 CA Primary

Addresses

Primary practice location

15556 Brookhurst St
Westminster, CA 92683-7571

Mailing address

15556 Brookhurst St
Westminster, CA 92683-7571
Phone (714) 775-8090

National Provider Directory

National Provider Directory
Tax ID family
Theresa Thanh Ngoc Nguye2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15556 Brookhurst St
Westminster, CA 92683
Phone (714) 775-8090

Practitioners & affiliated clinicians

Practitioners 2

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1386863454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15556 BROOKHURST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837571",
            "telephone_number": "714-775-8090",
            "fax_number": "714-775-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15556 BROOKHURST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837571",
            "telephone_number": "714-775-8090",
            "fax_number": "714-775-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA THANH NGOC NGUYEN, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THERESA THANH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-775-8090",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A61129",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 9, 2010; 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.