Individual provider Active NPI

Cang H Nguyen, DDS

  • General Practice Dentistry
  • Rosemead, CA
National Provider Identifier
1598854580
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55102 Issued in CA
Practice address
3106 San Gabriel Blvd Ste G
Rosemead, CA 91770-2579
Phone
(626) 572-3881
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 55102 CA Primary

Addresses

Primary practice location

3106 San Gabriel Blvd Ste G
Rosemead, CA 91770-2579

Mailing address

3106 San Gabriel Blvd Ste G
Rosemead, CA 91770-2579
Phone (626) 572-3881

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190115000869 CA Practitioner - Oral Surgery 9739425646 Practice locations: Rosemead, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cany H Nguyen DDS General Practice PastSince Sep 29, 2006 Accepting new patients
Janet DO, DDS General Practice Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1598854580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 SAN GABRIEL BLVD STE G",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702579",
            "telephone_number": "626-572-3881",
            "fax_number": "626-572-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 SAN GABRIEL BLVD STE G",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702579",
            "telephone_number": "626-572-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CANG",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

Verify at the official NPI Registry.