Active NPI
Jaubin Nguyen,DMD
- General Practice Dentistry
- Carson, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 46911
- Legal business name
- JAUBIN NGUYEN,DMD
- Practice address
- 1754 E Carson St
Carson, CA 90745-2506 - Phone
- (310) 518-7016
- Fax
- (310) 518-7058
- NPI assigned
- Apr 10, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jaubin D Nguyen, DMD
- Title
- President
- Phone
- (310) 518-7068
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 46911 | CA | Primary |
Addresses
Primary practice location
1754 E Carson St
Carson, CA 90745-2506
Mailing address
1754 E Carson St
Carson, CA 90745-2506
Phone (310) 518-7016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G93168-01 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Holt Dental Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Montclair, CA
- NPI 1215107263
Locations
1754 E Carson St
Carson, CA 90745
Phone (310) 518-7016
Practitioners & affiliated clinicians
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.
-
- General Practice Dentistry
- Carson, CA
- NPI 1013037688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629291570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1754 E CARSON ST",
"city": "CARSON",
"state": "CA",
"postal_code": "907452506",
"telephone_number": "310-518-7016",
"fax_number": "310-518-7058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1754 E CARSON ST",
"city": "CARSON",
"state": "CA",
"postal_code": "907452506",
"telephone_number": "310-518-7016",
"fax_number": "310-518-7058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAUBIN NGUYEN,DMD",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "JAUBIN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-518-7068",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "46911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G93168-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.