Organization Active NPI

Son Van Nguyen MD Inc

  • Internal Medicine Physician
  • Seattle, WA
National Provider Identifier
1457676983
Registry record updated Mar 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00033569 Issued in WA
Legal business name
SON VAN NGUYEN MD INC
Practice address
7101 MLK Jr Way S
Suite # 217
Seattle, WA 98118-3594
Phone
(206) 722-7786
Fax
(206) 722-7884
NPI assigned
Mar 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2010

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

Authorized official

Name
Dr. Son Van NguyenNPI 1508927716
Title
President
Phone
(206) 722-7786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD00033569 WA Primary

Addresses

Primary practice location

7101 MLK Jr Way S
Suite # 217
Seattle, WA 98118-3594

Mailing address

7101 MLK Jr Way S
Suite # 217
Seattle, WA 98118-3594
Phone (206) 722-7786

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100915001135 WA Part B Supplier - Clinic/Group Practice 0446375349 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0953551Nguyen, Son Van, MD7101 MLK Jr Way S, #217, Seattle, WA 98118Provider-performed microscopyApr 4, 2028

National Provider Directory

National Provider Directory

Locations

7101 Ml King Jr Way S
Seattle, WA 98118
Phone (206) 722-0534

7101 Ml King Jr Way S
Ste 217
Seattle, WA 98118
Phone (206) 395-4748

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269648000000",
    "number": "1457676983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 MLK JR WAY S",
            "address_2": "SUITE # 217",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183594",
            "telephone_number": "206-722-7786",
            "fax_number": "206-722-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 MLK JR WAY S",
            "address_2": "SUITE # 217",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183594",
            "telephone_number": "206-722-7786",
            "fax_number": "206-722-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SON VAN NGUYEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-27",
        "last_updated": "2010-03-27",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "SON",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-722-7786",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00033569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.