Active NPI
Nguyen-Clark M.D. & Associates, Inc
- Interventional Pain Medicine Physician
- Newport Beach, CA
National Provider Identifier
1528291309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- A62739
- Legal business name
- NGUYEN-CLARK M.D. & ASSOCIATES, INC
- Practice address
- 3848 Campus Dr Ste 108
Newport Beach, CA 92660-2655 - Phone
- (949) 251-0262
- NPI assigned
- Aug 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hanh Thi Nguyen-Clark, M.D.
- Title
- President
- Phone
- (707) 464-7840
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A62739 | CA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A62739 | CA | |
| Surgery Physician | 208600000X | A62739 | CA | |
| General Practice Physician | 208D00000X | A62739 | CA | |
| Interventional Pain Medicine Physician | 208VP0014X | A62739 | CA | Primary |
Addresses
Primary practice location
3848 Campus Dr Ste 108
Newport Beach, CA 92660-2655
Mailing address
3848 Campus Dr Ste 108
Newport Beach, CA 92660-2655
Phone (949) 251-0262
National Provider Directory
National Provider Directory- Tax ID family
- Nguyen Clark Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medical Specialty Clinic/Center
- Newport Beach, CA
- NPI 1083919294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251331200000",
"number": "1528291309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3848 CAMPUS DR STE 108",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602655",
"telephone_number": "949-251-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3848 CAMPUS DR STE 108",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602655",
"telephone_number": "949-251-0262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NGUYEN-CLARK M.D. & ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-27",
"last_updated": "2009-08-27",
"status": "A",
"authorized_official_last_name": "NGUYEN-CLARK",
"authorized_official_first_name": "HANH",
"authorized_official_middle_name": "THI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "707-464-7840",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "A62739",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A62739",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "A62739",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "A62739",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CA",
"license": "A62739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.