Organization Active NPI

Victoria Nguyen Le DDS Inc

  • Dentist
  • San Marcos, CA
National Provider Identifier
1548953565
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
VICTORIA NGUYEN LE DDS INC
Doing business as
SAN MARCOS MODERN DENTISTRY DENTAL
Practice address
675 S Rancho Santa Fe Rd Ste a
San Marcos, CA 92078-3973
Phone
(760) 688-4753
Fax
(760) 688-7949
NPI assigned
May 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Victoria Nguyen
Title
Owner Doctor
Phone
(760) 688-4753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

675 S Rancho Santa Fe Rd Ste a
San Marcos, CA 92078-3973

Mailing address

PO Box 920050
Dallas, TX 75392-0050

Other names 1

  • SAN MARCOS MODERN DENTISTRY DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

675 S Rancho Santa Fe Rd
Ste A
San Marcos, CA 92078
Phone (760) 688-4753

Practitioners & affiliated clinicians

Practitioners 2

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": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1548953565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 S RANCHO SANTA FE RD STE A",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920783973",
            "telephone_number": "760-688-4753",
            "fax_number": "760-688-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA NGUYEN LE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "760-688-4753"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN MARCOS MODERN DENTISTRY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.