Duc Nguyen MD Corp

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

A53620 Issued in CA

Legal business name

DUC NGUYEN MD CORP

Practice address

1177 Roadrunner Way
Simi Valley, CA 93065-3159

Phone

(805) 520-1577

Fax

(805) 520-8091

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Duc Nguyen, M.D.NPI 1306945365

Title

Owner

Phone

(805) 520-1577

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Duc Nguyen, MD

  • Pulmonary Disease Physician
  • Simi Valley, CA
  • NPI 1306945365
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1487842365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 ROADRUNNER WAY",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653159",
            "telephone_number": "805-520-1577",
            "fax_number": "805-520-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 ROADRUNNER WAY",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653159",
            "telephone_number": "805-520-1577",
            "fax_number": "805-520-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUC NGUYEN MD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DUC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-520-1577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A53620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A536201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Porter Sports Chiropractic & Wellness Inc.
• Dr. Thomas Truong, O.D., Inc.
• Melanie Sue Dreher
• Michael Richard Drucker, M.D.
• Harry Drummond III, MD
• Margeaux Olivia Duclos, LMFT
• Joshua Adam Duke
• Samantha Duke
• Victoria Ashley Dunbar, BSN, RN, PHN
• Jeanine Duncan-Ciarlone

• Pulmonary Disease Physician in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.