NPIMap

Organization Active NPI

D William Nguyen MD Apc

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1457032732
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
D WILLIAM NGUYEN MD APC
Practice address
9855 Erma Rd Ste 133
San Diego, CA 92131-1092
Phone
(760) 656-5523
Fax
(619) 280-5800
NPI assigned
Jul 28, 2023
Last updated
Jun 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Mai Linh Hoang, PHARMMD
Title
Ceo
Phone
(858) 349-3760

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

9855 Erma Rd Ste 133
San Diego, CA 92131-1092

Mailing address

PO Box 8005
Rancho Santa Fe, CA 92067-8005
Phone (858) 349-3760

Other practice location 1

5565 Grossmont Center Dr Ste 229
LA Mesa, CA 91942-3026
Phone (858) 349-3760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230922001308 CA Part B Supplier - Clinic/Group Practice 6204280373 Receives reassigned benefits from 9 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1457032732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8005",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920678005",
            "telephone_number": "858-349-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9855 ERMA RD STE 133",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311092",
            "telephone_number": "760-656-5523",
            "fax_number": "619-280-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5565 Grossmont Center Dr Ste 229",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423026",
            "country_code": "US",
            "telephone_number": "858-349-3760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "D WILLIAM NGUYEN MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "MAI",
        "authorized_official_middle_name": "LINH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-349-3760",
        "authorized_official_credential": "PHARMMD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "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 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.