Active NPI
Loc Q Nguyen, DDS
- Dentist
- Long Beach, CA
National Provider Identifier
1437289980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 52654
- Practice address
- 2150 E South St
Suite 116
Long Beach, CA 90805-4457 - Phone
- (562) 531-9779
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 52654 | CA | Primary |
Addresses
Primary practice location
2150 E South St
Suite 116
Long Beach, CA 90805-4457
Mailing address
9641 Westwood Dr
Westminster, CA 92683-6951
Phone (714) 702-5599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52654 | Medicaid | CA |
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 |
|---|---|---|---|
| 52654 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phuongtrinh Nguyen, DDS, Apc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba DTT Dental Group
- General Practice Dentistry
- Long Beach, CA
- NPI 1972720845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1437289980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9641 WESTWOOD DR",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926836951",
"telephone_number": "714-702-5599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 E SOUTH ST",
"address_2": "SUITE 116",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908054457",
"telephone_number": "562-531-9779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LOC",
"middle_name": "Q",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "52654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52654",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.