Dominique Thuy Nguyen, R.T. (R)(M) ARRT

Primary specialty

Mammography Radiologic TechnologistTaxonomy code 2471M2300X

License

RHM00085698 Issued in CA

Practice address

2750 Sycamore Dr
Simi Valley, CA 93065-1502

Phone

(805) 955-8150

NPI assigned

Apr 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1649967183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 JADESTONE AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632148",
            "telephone_number": "805-813-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 SYCAMORE DR",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651502",
            "telephone_number": "805-955-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DOMINIQUE",
        "middle_name": "THUY",
        "name_prefix": "Mrs.",
        "credential": "R.T. (R)(M) ARRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471M2300X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Mammography",
            "state": "CA",
            "license": "RHM00085698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Rene Newton, RDHAP, BS
• Thanhthao Nguyen Tran, DMD
• Charles Edward Nguyen
• Christina Tochau Nguyen
• Diem P Nguyen, RDN
• Duc Nguyen, MD
• Jonathan Nguyen, PHARMD
• Khang T. Nguyen, D.M.D.
• Nguyen Thi Bao Nguyen, PHARMD
• Pauline H Nguyen, RNP

• Radiologic Technologist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.