Clara Nguyen DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55617 Issued in CA

Legal business name

CLARA NGUYEN DDS, INC

Doing business as

Coast Dental Group

Practice address

12802 Valley View St.
Ste. 2
Garden Grove, CA 92845

Phone

(714) 995-9700

Fax

(714) 995-2416

NPI assigned

May 2, 2017

Organization subpart

No

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

Authorized official

Name

Clara Nguyen, DDS

Title

Owner

Phone

(714) 995-9700

Specialties & licenses 1

Addresses

Other names 1

• Coast Dental Group Doing business as

Locations

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1417483124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12802 VALLEY VIEW ST STE 2",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452511",
            "telephone_number": "714-995-9700",
            "fax_number": "714-995-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12802 VALLEY VIEW ST.",
            "address_2": "STE. 2",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92845",
            "telephone_number": "714-995-9700",
            "fax_number": "714-995-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA NGUYEN DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-995-9700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coast Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coast Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Chung, DDS
• Robert Sung Chung, M.D.
• Valeria Cisneros Miramontes
• Alejandra Elizabeth Cisneros
• City of Garden Grove Fire Department
• Robert Clare
• Douglas George Clark, M.D.
• Rynesha Clark
• Courtney Taylor Clarke
• Paul John Clarke, DDS

• General Practice Dentistry in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.