Organization Active NPI

Dat T Nguyen

  • Colon & Rectal Surgery Physician
  • Pleasanton, CA
National Provider Identifier
1528280930
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
G075447 Issued in CA
Legal business name
DAT T NGUYEN
Practice address
5565 W Las Positas Blvd Ste 360
Pleasanton, CA 94588-5809
Phone
(925) 460-3205
Fax
(925) 460-3795
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dat T Nguyen, MDNPI 1659346435
Title
Owner
Phone
(925) 460-3205

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X G75447 CA
Colon & Rectal Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208C00000X G075447 CA Primary

Addresses

Primary practice location

5565 W Las Positas Blvd Ste 360
Pleasanton, CA 94588-5809

Mailing address

5565 W Las Positas Blvd Ste 360
Pleasanton, CA 94588-5809
Phone (925) 460-3205

National Provider Directory

National Provider Directory

Locations

5565 W Las Positas Blvd
Ste 360
Pleasanton, CA 94588
Phone (510) 734-0454

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1528280930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS BLVD STE 360",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885809",
            "telephone_number": "925-460-3205",
            "fax_number": "925-460-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS BLVD STE 360",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885809",
            "telephone_number": "925-460-3205",
            "fax_number": "925-460-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAT T NGUYEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DAT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-460-3205",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G75447",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "G075447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.

Verify at the official NPI Registry.