Active NPI
Nguyen Medical Group Inc Apc
- Internal Medicine Physician
- Sun City, CA
National Provider Identifier
1407951890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A72564
- 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, 2024
- 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. Stephen H Nguyen, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A72564 | Other | CA | MEDICAL LICENSE |
Other names 1
- Sun City Medical Group Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
29798 Haun Rd
Ste 206
Sun City, CA 92586
Phone (951) 672-4400
Interoperability endpoints
- 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.
-
- Internal Medicine Physician
- Sun City, CA
- NPI 1619976644
-
- Physician Assistant
- Garden Grove, CA
- NPI 1548504533
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.