NPIMap

Individual provider Active NPI

Thanh Trang Thi Nguyen, MD

  • Internal Medicine Physician
  • Placerville, CA
National Provider Identifier
1497907083
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A115025 Issued in CA
Practice address
The Pines at Placerville Healthcare Center
1040 Marshall Way
Placerville, CA 95667
Phone
(530) 622-3400
Fax
(530) 622-5230
NPI assigned
Oct 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X A115025 CA Primary

Addresses

Primary practice location

The Pines at Placerville Healthcare Center
1040 Marshall Way
Placerville, CA 95667

Mailing address

The Pines at Placerville Healthcare Center
1040 Marshall Way
Placerville, CA 95667
Phone (760) 320-8814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180222002894 CA Practitioner - Internal Medicine 4486915022 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6608 Mercy CT
Suite B
Fair Oaks, CA 95628-3171
Phone (916) 241-9844

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A115025CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
1125 Sir Francis Drake Boulevard Operating Company, LLC CurrentSince Jul 1, 2022 Accepting new patients
Chandan DS Cheema MD Inc Internal Medicine CurrentSince Oct 14, 2022 Accepting new patients
Amplehealth Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Community Health Centers of America CurrentSince Jul 1, 2023 Accepting new patients
Community Health Centers of America CurrentSince Jul 1, 2023 Accepting new patients
Gladiolus Holdings, LLC PastSince Dec 1, 2023 Accepting new patients
Diagnostic Imaging Services Past Accepting new patients

Locations

6620 Coyle Ave
Ste 202
Carmichael, CA 95608
Phone (916) 961-3434

6608 Mercy Ct
Ste B
Fair Oaks, CA 95628
Phone (916) 277-8881

330 Montrose Dr
Folsom, CA 95630
Phone (916) 351-9151

5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344

2928 Eastern Ave
Sacramento, CA 95821
Phone (916) 894-8212

3270 Arena Blvd
Ste 405
Sacramento, CA 95834
Phone (916) 418-4595

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Pines at Placerville Healthcare CenterPlacerville, CA, CCN 055497 Skilled nursing facility Contracted Managing Employee Dec 1, 2023
Western Slope Health CenterPlacerville, CA, CCN 056243 Skilled nursing facility Contracted Managing Employee Dec 1, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1497907083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE PINES AT PLACERVILLE HEALTHCARE CENTER",
            "address_2": "1040 MARSHALL WAY",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "95667",
            "telephone_number": "760-320-8814",
            "fax_number": "760-969-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE PINES AT PLACERVILLE HEALTHCARE CENTER",
            "address_2": "1040 MARSHALL WAY",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "95667",
            "telephone_number": "530-622-3400",
            "fax_number": "530-622-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THANH TRANG",
        "middle_name": "THI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A115025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

Verify at the official NPI Registry.