Organization Active NPI

Kalvin Nguyen DDS PC

  • Dentist
  • Huntington Beach, CA
National Provider Identifier
1548910813
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KALVIN NGUYEN DDS PC
Practice address
19201 Brookhurst St Ste 103
Huntington Beach, CA 92646-2926
Phone
(657) 800-5254
Fax
(657) 800-5255
NPI assigned
Mar 28, 2022
Last updated
Jan 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Kalvin Alexander Nguyen, DDS
Title
Dr.
Phone
(310) 988-0658

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary
Customized Equipment (DME) 332BC3200X NU

Addresses

Primary practice location

19201 Brookhurst St Ste 103
Huntington Beach, CA 92646-2926

Mailing address

19201 Brookhurst St Ste 103
Huntington Beach, CA 92646-2926
Phone (657) 800-5254

National Provider Directory

National Provider Directory

Locations

19201 Brookhurst St
Ste 103
Huntington Beach, CA 92646
Phone (657) 571-3658

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1548910813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19201 BROOKHURST ST STE 103",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462926",
            "telephone_number": "657-800-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19201 BROOKHURST ST STE 103",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462926",
            "telephone_number": "657-800-5254",
            "fax_number": "657-800-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALVIN NGUYEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KALVIN",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "310-988-0658",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.