Organization Active NPI

Huong T L Nguyen MD Inc

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1457992927
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HUONG T L NGUYEN MD INC
Practice address
4444 El Cajon Blvd Ste 6
San Diego, CA 92115-4392
Phone
(619) 285-1522
NPI assigned
Oct 4, 2019
Organization subpart
Yes
Parent organization
HUONG T L NGUYEN MD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Authorized official

Name
Huong T L Nguyen, MDNPI 1265506794
Title
President
Phone
(619) 285-1522

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4444 El Cajon Blvd Ste 6
San Diego, CA 92115-4392

Mailing address

4444 El Cajon Blvd Ste 6
San Diego, CA 92115-4392
Phone (619) 285-1522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200316002636 CA Part B Supplier - Clinic/Group Practice 5193153690 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory
Part of
Huong T L Nguyen MD Inc

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": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1457992927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 EL CAJON BLVD STE 6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154392",
            "telephone_number": "619-285-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 EL CAJON BLVD STE 6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154392",
            "telephone_number": "619-285-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUONG T L NGUYEN MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUONG T L NGUYEN MD INC",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HUONG",
        "authorized_official_middle_name": "T L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-285-1522",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 Oct 4, 2019; 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.