Individual provider Active NPI

Tan Ngoc Nguyen, DC

  • Chiropractor
  • Garden Grove, CA
National Provider Identifier
1588864607
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29570 Issued in CA
Practice address
10961 Westminster Ave
Garden Grove, CA 92843-4929
Phone
(714) 636-1744
NPI assigned
Jul 18, 2007
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29570 CA Primary

Addresses

Primary practice location

10961 Westminster Ave
Garden Grove, CA 92843-4929

Mailing address

10961 Westminster Ave
Garden Grove, CA 92843-4929
Phone (714) 636-1744

Other practice location 1

8840 Warner Ave
Ste 100
Fountain Valley, CA 92708-3232
Phone (714) 841-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29570CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tan Ngoc Nguyen Chiropractic, Inc. Chiropractor Current Accepting new patients

Locations

10961 Westminster Ave
Garden Grove, CA 92843
Phone (714) 636-1744

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1588864607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10961 WESTMINSTER AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434929",
            "telephone_number": "714-636-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10961 WESTMINSTER AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434929",
            "telephone_number": "714-636-1744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8840 WARNER AVE",
            "address_2": "STE 100",
            "address_purpose": "LOCATION",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083232",
            "country_code": "US",
            "telephone_number": "714-841-1500",
            "fax_number": "714-841-1551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TAN",
        "middle_name": "NGOC",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

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