Active NPI
Dameon Nguyen
- Social Worker
- Sacramento, CA
National Provider Identifier
1487859377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW 16895
- Practice address
- 5777 Madison Ave
Sacramento, CA 95841-3315 - Phone
- (916) 344-0964
- NPI assigned
- Jun 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW 16895 | CA | Primary |
Addresses
Primary practice location
5777 Madison Ave
Sacramento, CA 95841-3315
Mailing address
PO Box 293835
Sacramento, CA 95829-3835
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW 16895 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487859377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 293835",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958293835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5777 MADISON AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958413315",
"telephone_number": "916-344-0964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DAMEON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW 16895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.