Active NPI
Tan The Nguyen, M.D.
- Internal Medicine Physician
- Garden Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G67119
- Practice address
- 12865 Main St Ste 105
Garden Grove, CA 92840-8205 - Phone
- (800) 768-1977
- Fax
- (800) 768-1977
- NPI assigned
- Apr 6, 2006
- Last updated
- Jul 22, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G67119 | CA | Primary |
Addresses
Primary practice location
12865 Main St Ste 105
Garden Grove, CA 92840-8205
Mailing address
12865 Main St Ste 105
Garden Grove, CA 92840-8205
Phone (800) 760-5520
Other practice location 1
508 S Brookhurst St
Anaheim, CA 92804
Phone (800) 760-5520
Other practice location 2
508 S Brookhurst St
Anaheim, CA 92804
Phone (800) 760-5520
Other practice location 3
7514 Girard Ave
Suite 4
LA Jolla, CA 92037-5149
Phone (858) 754-1114
Other practice location 4
8700 Warner Ave Ste 270
Fountain Valley, CA 92708-3212
Phone (800) 560-9999
Other names 1
- Dr. Tony Nguyen
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
508 S Brookhurst St
Anaheim, CA 92804-2416
8110 S Houghton Rd
Suite 158
Tucson, AZ 85747-4710
PO Box
Suite 15323
San Diego, CA 92175-5323
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G67119 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ted Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| House Call Medical Associates, Inc. | Current | Accepting new patients | |
| NR Medical Associates | Internal Medicine | Current | Accepting new patients |
| KND Development 59 LLC | Current | Accepting new patients | |
| 365 Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| KND Development 59 LLC | Current | Accepting new patients | |
| KND Development 59, LLC | Current | Accepting new patients |
Locations
508 S Brookhurst St
Anaheim, CA 92804
Phone (800) 560-9999
17195 Newhope St
Ste 107
Fountain Valley, CA 92708
Phone (714) 444-2414
8700 Warner Ave
Ste 270
Fountain Valley, CA 92708
Phone (800) 560-9999
12865 Main St
Ste 105
Garden Grove, CA 92840
Phone (714) 360-0739
302 Washington St
San Diego, CA 92103
Phone (800) 790-0890
4940 El Cajon Blvd
San Diego, CA 92115
Phone (619) 543-4500
555 Washington St
San Diego, CA 92103
Phone (619) 260-8300
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Wecare Hospice and Palliative | Hospice | Contracted Managing Employee | Oct 1, 2020 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba WeCARE HOSPICE & PALLIATIVE
- Community Based Hospice Care Agency
- Stanton, CA
- NPI 1629475090
Contracted Managing Employee
Organizations & group practices 7
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.
-
dba 360 Healthcare
- Geriatric Medicine (Internal Medicine) Physician
- Garden Grove, CA
- NPI 1548688732
-
- Hospitalist Physician
- Santa Ana, CA
- NPI 1740519081
-
- Internal Medicine Physician
- Garden Grove, CA
- NPI 1497396451
-
- Internal Medicine Physician
- Garden Grove, CA
- NPI 1780275016
-
- Hospitalist Physician
- San Diego, CA
- NPI 1881923951
-
dba Specialty Hospitals Broken Arrow
- Hospitalist Physician
- Broken Arrow, OK
- NPI 1922950823
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Garden Grove, CA
- NPI 1801565908
-
- Home Health Agency
- Garden Grove, CA
- NPI 1417593286
-
dba 24/7 Care At Home - Home Health
- Home Health Agency
- Westminster, CA
- NPI 1447448519
-
dba WeCARE HOSPICE & PALLIATIVE
- Community Based Hospice Care Agency
- Stanton, CA
- NPI 1629475090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1609839299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12865 MAIN ST STE 105",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928408205",
"telephone_number": "800-760-5520",
"fax_number": "800-760-5520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12865 MAIN ST STE 105",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928408205",
"telephone_number": "800-768-1977",
"fax_number": "800-768-1977"
}
],
"practiceLocations": [
{
"address_1": "508 S Brookhurst St",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "92804",
"country_code": "US",
"telephone_number": "800-760-5520",
"fax_number": "800-760-5520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "508 S Brookhurst St",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "92804",
"country_code": "US",
"telephone_number": "800-760-5520",
"fax_number": "800-760-5520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7514 Girard Ave",
"address_2": "Suite 4",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920375149",
"country_code": "US",
"telephone_number": "858-754-1114",
"fax_number": "858-228-9828",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8700 Warner Ave Ste 270",
"address_purpose": "LOCATION",
"city": "Fountain Valley",
"state": "CA",
"postal_code": "927083212",
"country_code": "US",
"telephone_number": "800-560-9999",
"fax_number": "800-391-4191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "TAN",
"middle_name": "THE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G67119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TONY",
"last_name": "NGUYEN",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.