Organization Active NPI

Tritan Nguyen Chiropractic Corporation

  • Chiropractor
  • Saratoga, CA
National Provider Identifier
1396242582
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC32378 Issued in CA
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

Updated by the provider on Apr 12, 2018

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

Authorized official

Name
Dr. Tan Tri Nguyen, DCNPI 1477998557
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC32378 CA Primary
Sports Physician ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
CA126792MedicaidCA

Other names 1

  • Tritan Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180831001624 CA Part B Supplier - Clinic/Group Practice 5193075711 Receives reassigned benefits from 1 practitioner
Practice locations: Saratoga, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.