Thucdoan Thi Nguyen, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA17458 Issued in CA

Practice address

4129 Gage Ave
Bell, CA 90201-1128

Phone

(323) 771-8400

Fax

(323) 771-8750

NPI assigned

Nov 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Obiora M Ekweani MD, PA

  • Primary Care Clinic/Center
  • Frisco, TX
  • NPI 1013031095
  Medicare reassignment

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497827604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 W ALEXIS AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021326",
            "telephone_number": "310-619-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 GAGE AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902011128",
            "telephone_number": "323-771-8400",
            "fax_number": "323-771-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THUCDOAN",
        "middle_name": "THI",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Min Lee DDS
• Mojdeh Fatemi,DDS, a Professional Corporation
• Maia M Montoya, DDS
• Ruben Alejandro Munoz, M.D., M.P.H
• Alfonso Jose Najera, DDS
• Northeast Community Clinic
• Northeast Community Clinic
• Alexandra Isabel Novac
• Oscar Zambrano M.D. Inc
• Prisma Otanez, FNP

• Physician Assistant in Bell, CA
• Providers in Bell, CA by specialty
• Physician Assistant in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.