Active NPI
Tony Toan Nguyen
- Marriage & Family Therapist
- Tustin, CA
National Provider Identifier
1588979504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 107936
- Practice address
- 12821 Newport Ave
Tustin, CA 92780-2711 - Phone
- (714) 202-7334
- NPI assigned
- Aug 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Marriage & Family Therapist | 106H00000X | 107936 | CA | Primary |
Addresses
Primary practice location
12821 Newport Ave
Tustin, CA 92780-2711
Mailing address
12821 Newport Ave
Tustin, CA 92780-2711
Phone (714) 202-7334
Other practice location 1
13950 Milton Ave Ste 303
Westminster, CA 92683-2939
Phone (714) 901-4629
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107936 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572739200000",
"number": "1588979504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12821 NEWPORT AVE",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927802711",
"telephone_number": "714-202-7334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12821 NEWPORT AVE",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927802711",
"telephone_number": "714-202-7334"
}
],
"practiceLocations": [
{
"address_1": "13950 Milton Ave Ste 303",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "CA",
"postal_code": "926832939",
"country_code": "US",
"telephone_number": "714-901-4629",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "TONY",
"middle_name": "TOAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-13",
"last_updated": "2019-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "107936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.