NPIMap

Organization Active NPI

Fairfax Clinic LLC

  • Clinic/Center
  • Falls Church, VA
National Provider Identifier
1467823575
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0102204088 Issued in VA
Legal business name
FAIRFAX CLINIC LLC
Practice address
6408 Seven Corners PL Ste C
Falls Church, VA 22044-2011
Phone
(703) 532-1909
Fax
(703) 532-5868
NPI assigned
Oct 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Authorized official

Name
Dr. Viet Huu Nguyen, D.O.
Title
President
Phone
(301) 613-8124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0102204088 VA Primary

Addresses

Primary practice location

6408 Seven Corners PL Ste C
Falls Church, VA 22044-2011

Mailing address

6408 Seven Corners PL Ste C
Falls Church, VA 22044-2011
Phone (703) 532-1909

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1467823575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 SEVEN CORNERS PL STE C",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442011",
            "telephone_number": "703-532-1909",
            "fax_number": "703-532-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 SEVEN CORNERS PL STE C",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442011",
            "telephone_number": "703-532-1909",
            "fax_number": "703-532-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VIET",
        "authorized_official_middle_name": "HUU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-613-8124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0102204088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.