Garden Grove Foot and Ankle Clinic

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4912 Issued in CA

Legal business name

GARDEN GROVE FOOT AND ANKLE CLINIC

Practice address

13310 Euclid St
Garden Grove, CA 92843-2514

Phone

(714) 638-2653

Fax

(714) 638-0103

NPI assigned

Mar 6, 2015

Last updated

Mar 6, 2015By 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. Kelvin Huy Tang Nguyen, DPMNPI 1285957639

Title

Ceo

Phone

(714) 638-2653

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

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.

• Kelvin Huy Tang Nguyen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Garden Grove, CA
  • NPI 1285957639
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1609269257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13310 EUCLID ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432514",
            "telephone_number": "714-638-2653",
            "fax_number": "714-638-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13310 EUCLID ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432514",
            "telephone_number": "714-638-2653",
            "fax_number": "714-638-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN GROVE FOOT AND ANKLE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_middle_name": "HUY TANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-638-2653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Garcia
• Priscilla Garcia
• Veronica Isabella Garcia
• Zugey Y. Garcia
• Garden Grove Convalescent Hospital Inc (Garden Grove Convalescent Hospital & Guest Home)
• Garden Grove Guest Home LLC
• Garden Grove Medical and Dental Surgery Center, LLC
• Garden Grove Medical Group Inc
• Garden Grove Medical Investors LTD (Orangegrove Rehabilitation Hospital)
• Garden Grove Medical Rehabilitation Center, Inc.

• Foot & Ankle Surgery Podiatrist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.