Individual provider Active NPI

Thai Quang Nguyen, M.D.

  • Cardiovascular Disease Physician
  • Westminster, CA
National Provider Identifier
1447293493
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A39322 Issued in CA
Practice address
14558 Brookhurst St
Westminster, CA 92683-5750
Phone
(174) 531-5056
Fax
(174) 531-3488
NPI assigned
Jun 14, 2006
Last updated
Jul 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A39322 CA Primary

Addresses

Primary practice location

14558 Brookhurst St
Westminster, CA 92683-5750

Mailing address

14558 Brookhurst St
Westminster, CA 92683-5750
Phone (174) 531-5056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100917000763 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8426173188

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14558 Brookhurst St
Westminster, CA 92683-5750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Thai Quang Nguyen, M.D., Inc., Cardiovascular Disease CurrentSince Jul 1, 2010 Accepting new patients

Locations

14558 Brookhurst St
Westminster, CA 92683
Phone (714) 531-5056

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1447293493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14558 BROOKHURST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835750",
            "telephone_number": "174-531-5056",
            "fax_number": "174-531-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14558 BROOKHURST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835750",
            "telephone_number": "174-531-5056",
            "fax_number": "174-531-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THAI",
        "middle_name": "QUANG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A39322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.