Active NPI
Phandinh Ngoc Nguyen, ND, MD
- Naturopath
- Renton, WA
National Provider Identifier
1548716152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT60616795
- Practice address
- 330 SW 43Rd St,Suite L
Renton, WA 98057 - Phone
- (425) 324-4745
- Fax
- (253) 981-4815
- NPI assigned
- Sep 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NT60616795 | WA | Primary |
Addresses
Primary practice location
330 SW 43Rd St,Suite L
Renton, WA 98057
Mailing address
330 SW 43Rd St Ste L
Renton, WA 98057-4900
Phone (425) 324-4745
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2061470 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phandinh Clinic-Urgent Care and Wellness Center PC | Current | Accepting new patients | |
| Phandinh Clinic-Urgent Care & Wellness Center PC | Current | Accepting new patients |
Locations
5406 W Glenn Dr
Ste 3
Glendale, AZ 85301
Phone (623) 270-6336
Organizations & group practices 2
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.
-
dba Phandinh Clinic
- Urgent Care Clinic/Center
- Glendale, AZ
- NPI 1093596876
-
dba Phandinh Clinic - Primary Care and Wellness Center
- Primary Care Clinic/Center
- Glendale, AZ
- NPI 1588413827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1548716152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 SW 43RD ST STE L",
"city": "RENTON",
"state": "WA",
"postal_code": "980574900",
"telephone_number": "425-324-4745",
"fax_number": "253-981-4815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 SW 43RD ST,SUITE L",
"city": "RENTON",
"state": "WA",
"postal_code": "98057",
"telephone_number": "425-324-4745",
"fax_number": "253-981-4815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "PHANDINH",
"middle_name": "NGOC",
"name_prefix": "Dr.",
"credential": "ND, MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT60616795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2061470",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.