NPIMap

Organization Active NPI

Thuy T M Nguyen M D Inc

  • Urgent Care Clinic/Center
  • Montclair, CA
National Provider Identifier
1558503169
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
75293 Issued in CA
Legal business name
THUY T M NGUYEN M D INC
Practice address
8891 Central Ave
Suite a
Montclair, CA 91763-1618
Phone
(909) 297-3361
Fax
(520) 843-4181
NPI assigned
Mar 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Thuy Vo, M.D.
Title
Ceo
Phone
(213) 841-4181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 75293 CA Primary

Addresses

Primary practice location

8891 Central Ave
Suite a
Montclair, CA 91763-1618

Mailing address

5131 Nellie CT
Rancho Cucamonga, CA 91739-5132
Phone (213) 841-4181

Other identifiers 3

IdentifierTypeStateIssuer
00A803220MedicaidCA
00A803220OtherCABLUE SHIELD
P00205726OtherCARAILROAD MEDICARE

Other names 1

  • Central Urgent Medical Care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090714000560 CA Part B Supplier - Clinic/Group Practice 0244382703 Receives reassigned benefits from 4 practitioners
Practice locations: Rancho Cucamonga, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1558503169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 NELLIE CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917395132",
            "telephone_number": "213-841-4181",
            "fax_number": "520-843-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8891 CENTRAL AVE",
            "address_2": "SUITE A",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631618",
            "telephone_number": "909-297-3361",
            "fax_number": "520-843-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUY T M NGUYEN M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "THUY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-841-4181",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "75293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A803220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A803220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00205726",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Urgent Medical Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.