Organization Active NPI

Son-Ha and Diem-CHI a Medical Corp

  • Obstetrics & Gynecology Physician
  • Long Beach, CA
National Provider Identifier
1508895871
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G67118 Issued in CA
Legal business name
SON-HA AND DIEM-CHI A MEDICAL CORP
Practice address
1951 Pacific Ave
Long Beach, CA 90806-5321
Phone
(562) 218-8778
Fax
(562) 218-1916
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Mr. Ha Son Nguyen, M.D.NPI 1447275631
Title
President
Phone
(562) 218-8778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G67118 CA Primary

Addresses

Primary practice location

1951 Pacific Ave
Long Beach, CA 90806-5321

Mailing address

1951 Pacific Ave
Long Beach, CA 90806-5321
Phone (562) 218-8778

Other identifiers 1

IdentifierTypeStateIssuer
00G671180MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130326000395 CA Part B Supplier - Clinic/Group Practice 7618112459 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0943686Son-Ha & Diem-CHI a Medical Corp1951 Pacific Ave, Long Beach, CA 90806Certificate of waiverMar 30, 2028

National Provider Directory

National Provider Directory

Locations

555 E Pacific Coast Hwy
Ste 101
Long Beach, CA 90806
Phone (562) 218-8778

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1508895871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065321",
            "telephone_number": "562-218-8778",
            "fax_number": "562-218-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065321",
            "telephone_number": "562-218-8778",
            "fax_number": "562-218-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SON-HA AND DIEM-CHI A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HA",
        "authorized_official_middle_name": "SON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-218-8778",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G67118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G671180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.