Thao Nguyen M D Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G81689 Issued in CA

Legal business name

THAO NGUYEN M D INC

Practice address

2406 Ulric St
San Diego, CA 92111-6040

Phone

(858) 278-9393

Fax

(858) 278-5393

NPI assigned

May 12, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Thao P Nguyen, M.D.NPI 1154352185

Title

Owner/Medical Doctor

Phone

(858) 610-9393

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• THAO NGUYEN MD INC Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thao P Nguyen, M D

  • Ophthalmology Physician
  • San Diego, CA
  • NPI 1154352185
  Medicare reassignment NPD Authorized official
• Tuan Nguyen, MD

  • Gastroenterology Physician
  • San Diego, CA
  • NPI 1730270380
  NPD

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1558898171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420988",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921420988",
            "telephone_number": "858-278-9393",
            "fax_number": "858-278-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 ULRIC ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921116040",
            "telephone_number": "858-278-9393",
            "fax_number": "858-278-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAO NGUYEN M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THAO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/MEDICAL DOCTOR",
        "authorized_official_telephone_number": "858-610-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G81689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G816890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THAO NGUYEN MD INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Linnapat Thanawong, RN
• Hariharan Thangarajah, MD
• Nivaas Thanoo, MD
• Alisha Nichols Thanos, DMD
• Nora Thanyakron
• Mai Thao
• Pang Thao
• Ayush Thapa, DO
• Julia M Tharp, MS, OTR/L
• Peter Benjamin Tharp

• Ophthalmology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.