Tristen Nguyen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55387 Issued in CA

Practice address

4700 Inglewood Blvd Ste 102
Culver City, CA 90230-5896

Phone

(310) 392-8636

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1578772000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 REGIS WAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900452619",
            "telephone_number": "310-634-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 INGLEWOOD BLVD STE 102",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902305896",
            "telephone_number": "310-392-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRISTEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tristen.nguyen.p1@direct.venicefamilyclinic.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4700 Inglewood Blvd Ste 102",
            "city": "Culver City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902305896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimmie Nguyen, MPH, CMPSS
• Linh Phoung Nguyen
• Megan N Nguyen, RPH
• Thao Nguyen, PHARMD
• Tonia Mailyn Nguyen
• Vivi Nguyen
• Grace Awah Ngwa
• Nickolas a Tomasic MD a Professional Corporation
• Nicollette L. Ballou, M.D.
• Sophie Nikfarjam, M.A.

• General Practice Dentistry in Culver City, CA
• Providers in Culver City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.

Verify at the official NPI Registry.