T D Nguyen, MD, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A78238 Issued in CA

Legal business name

T D NGUYEN, MD, INC

Practice address

27830 Bradley Rd
Sun City, CA 92586-2201

Phone

(951) 679-2358

Fax

(951) 672-8599

NPI assigned

Sep 13, 2006

Last updated

Jun 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thang D Nguyen, M.D.NPI 1013916048

Title

MD/Ceo

Phone

(951) 679-2358

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Thang D Nguyen, MD

  • Internal Medicine Physician
  • Sun City, CA
  • NPI 1013916048
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1598860983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27830 BRADLEY RD",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925862201",
            "telephone_number": "951-679-2358",
            "fax_number": "951-672-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27830 BRADLEY RD",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925862201",
            "telephone_number": "951-679-2358",
            "fax_number": "951-672-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T D NGUYEN, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THANG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD/CEO",
        "authorized_official_telephone_number": "951-679-2358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A78238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00A782380",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A782380",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGACY",
            "identifier": "ZZZ02675Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A780380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sun City Pharmacy
• Sun City Vision Clinic
• Sun City Vision Clinic Optometry
• Superior Hearing Aid Service
• Susan M. Danek MD a Professional Medical Corporation
• Christine Taufik
• Ellie Marian Taylor
• Technomed Homecare Inc (T H I Home Medical Equipment)
• Evelyn NA-Adjieley Tetteh-Martey, MD
• Thrifty Payless Inc (Rite Aid)

• Internal Medicine Physician in Sun City, CA
• Providers in Sun City, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.