Organization Active NPI

Nguyen Medical Group Inc Apc

  • Internal Medicine Physician
  • Sun City, CA
National Provider Identifier
1407951890
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A72564 Issued in CA
Legal business name
NGUYEN MEDICAL GROUP INC APC
Practice address
29826 Haun Rd
Suite 102
Sun City, CA 92586-6547
Phone
(951) 672-4900
Fax
(951) 301-0025
NPI assigned
Sep 13, 2006
Last updated
Jan 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Dr. Stephen H Nguyen, M.D.NPI 1619976644
Title
MD/Ceo
Phone
(951) 672-4900

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
Internal Medicine Physician 207R00000X A72564 CA Primary

Addresses

Primary practice location

29826 Haun Rd
Suite 102
Sun City, CA 92586-6547

Mailing address

29826 Haun Rd
Suite 102
Sun City, CA 92586-6546
Phone (951) 672-4900

Other identifiers 1

IdentifierTypeStateIssuer
A72564OtherCAMEDICAL LICENSE

Other names 1

  • Sun City Medical Group Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090605000419 CA Part B Supplier - Clinic/Group Practice 0648320077 Receives reassigned benefits from 2 practitioners
Practice locations: Sun City, CA

National Provider Directory

National Provider Directory

Locations

29798 Haun Rd
Ste 206
Sun City, CA 92586
Phone (951) 672-4400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23613/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1407951890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29826 HAUN RD",
            "address_2": "SUITE 102",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925866546",
            "telephone_number": "951-672-4900",
            "fax_number": "951-301-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29826 HAUN RD",
            "address_2": "SUITE 102",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925866547",
            "telephone_number": "951-672-4900",
            "fax_number": "951-301-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN MEDICAL GROUP INC APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MD/CEO",
        "authorized_official_telephone_number": "951-672-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A72564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A72564",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun City Medical Group Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sun City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.