NPIMap

Organization Active NPI

NR Medical Associates

  • Pulmonary Disease Physician
  • San Diego, CA
National Provider Identifier
1649601113
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
C53916 Issued in CA
Legal business name
NR MEDICAL ASSOCIATES
Practice address
302 Washington St # 116
San Diego, CA 92103-2110
Phone
(858) 754-1114
Fax
(858) 754-1114
NPI assigned
Dec 9, 2013
Last updated
May 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Authorized official

Name
Dr. Tan Nguyen, MDNPI 1609839299
Title
Ceo
Phone
(858) 754-1114

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X G67119 CA
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X C53916 CA Primary

Addresses

Primary practice location

302 Washington St # 116
San Diego, CA 92103-2110

Mailing address

302 Washington St # 116
San Diego, CA 92103-2110
Phone (866) 284-2771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150410002252 CA Part B Supplier - Clinic/Group Practice 0547588162 Receives reassigned benefits from 17 practitioners
Practice locations: San Diego, CA; Palm Springs, CA; Garden Grove, CA

National Provider Directory

National Provider Directory

Locations

12865 Main St
Ste 105
Garden Grove, CA 92840
Phone (714) 360-0739

5550 University Ave
Ste A
San Diego, CA 92105
Phone (209) 478-5291

5602 University Ave
San Diego, CA 92105
Phone (619) 583-1993

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1649601113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 WASHINGTON ST # 116",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032110",
            "telephone_number": "866-284-2771",
            "fax_number": "858-754-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 WASHINGTON ST # 116",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032110",
            "telephone_number": "858-754-1114",
            "fax_number": "858-754-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NR MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-754-1114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G67119",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "C53916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.