Organization Active NPI

Khanh L. Nguyen, M.D. PA

  • Neurology Physician
  • San Diego, CA
National Provider Identifier
1427224146
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
M4896 Issued in TX
Legal business name
KHANH L. NGUYEN, M.D. PA
Practice address
8650 Genesee Ave
Suite 214
San Diego, CA 92122-1134
Phone
(214) 621-7943
NPI assigned
May 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Dr. Khanh Lebao Nguyen, M.D.
Title
President
Phone
(214) 621-7943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X M4896 TX Primary

Addresses

Primary practice location

8650 Genesee Ave
Suite 214
San Diego, CA 92122-1134

Mailing address

PO Box 928766
San Diego, CA 92192-8766
Phone (214) 621-7943

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1427224146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 928766",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921928766",
            "telephone_number": "214-621-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 GENESEE AVE",
            "address_2": "SUITE 214",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221134",
            "telephone_number": "214-621-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHANH L. NGUYEN, M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KHANH",
        "authorized_official_middle_name": "LEBAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-621-7943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "M4896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.