Active NPI
Thiet Tan Nguyen
- Specialist
- Huntington Beach, CA
National Provider Identifier
1427323831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A33275
- Practice address
- 8762 Sailport Dr
Huntington Beach, CA 92646-2640 - Phone
- (714) 963-7218
- NPI assigned
- Mar 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A33275 | CA | Primary |
Addresses
Primary practice location
8762 Sailport Dr
Huntington Beach, CA 92646-2640
Mailing address
8762 Sailport Dr
Huntington Beach, CA 92646-2640
Phone (714) 963-7218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A33275 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332115200000",
"number": "1427323831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8762 SAILPORT DR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926462640",
"telephone_number": "714-963-7218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8762 SAILPORT DR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926462640",
"telephone_number": "714-963-7218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THIET",
"middle_name": "TAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-19",
"last_updated": "2012-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A33275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.