Active NPI
Tritan Nguyen Chiropractic Corporation
- Chiropractor
- Saratoga, CA
National Provider Identifier
1396242582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC32378
- Legal business name
- TRITAN NGUYEN CHIROPRACTIC CORPORATION
- Practice address
- 18805 Cox Ave Ste 170
Saratoga, CA 95070-4162 - Phone
- (408) 364-6600
- Fax
- (408) 364-2041
- NPI assigned
- Apr 12, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tan Tri Nguyen, DC
- Title
- Executive
- Phone
- (408) 832-8221
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC32378 | CA | Primary |
| Sports Physician Chiropractor | 111NS0005X | DC32378 | CA |
Addresses
Primary practice location
18805 Cox Ave Ste 170
Saratoga, CA 95070-4162
Mailing address
18805 Cox Ave Ste 170
Saratoga, CA 95070-4162
Phone (408) 364-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA126792 | Medicaid | CA |
Other names 1
- Tritan Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12280 Saratoga Sunnyvale Rd
Ste 109
Saratoga, CA 95070
Phone (408) 364-6600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Saratoga, CA
- NPI 1477998557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523491200000",
"number": "1396242582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18805 COX AVE STE 170",
"city": "SARATOGA",
"state": "CA",
"postal_code": "950704162",
"telephone_number": "408-364-6600",
"fax_number": "408-364-2041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18805 COX AVE STE 170",
"city": "SARATOGA",
"state": "CA",
"postal_code": "950704162",
"telephone_number": "408-364-6600",
"fax_number": "408-364-2041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRITAN NGUYEN CHIROPRACTIC CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-12",
"last_updated": "2018-04-12",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "TAN",
"authorized_official_middle_name": "TRI",
"authorized_official_title_or_position": "EXECUTIVE",
"authorized_official_telephone_number": "408-832-8221",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC32378",
"primary": true
},
{
"code": "111NS0005X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC32378",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CA126792",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tritan Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saratoga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.