Organization Active NPI

Thang Dinh Nguyen MD a Professional Medical Corporation

  • Specialist
  • Irvine, CA
National Provider Identifier
1659504124
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A76049 Issued in CA
Legal business name
THANG DINH NGUYEN MD A PROFESSIONAL MEDICAL CORPORATION
Practice address
22 Odyssey Ste 265
Irvine, CA 92618-7701
Phone
(714) 434-0404
Fax
(714) 434-0808
NPI assigned
Aug 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Thang D Nguyen, MDNPI 1831279009
Title
Authorized Offical
Phone
(714) 434-0404

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A76049 CA Primary

Addresses

Primary practice location

22 Odyssey Ste 265
Irvine, CA 92618-7701

Mailing address

22 Odyssey Ste 265
Mailbox C-10
Irvine, CA 92618-7701
Phone (714) 434-0404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090912000125 CA Part B Supplier - Clinic/Group Practice 0143376343 Receives reassigned benefits from 1 practitioner
Practice locations: Fountain Valley, CA; Irvine, CA

National Provider Directory

National Provider Directory

Locations

9940 Talbert Ave
Ste 303
Fountain Vly, CA 92708
Phone (714) 378-5606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1659504124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY STE 265",
            "address_2": "MAILBOX C-10",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187701",
            "telephone_number": "714-434-0404",
            "fax_number": "714-434-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY STE 265",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187701",
            "telephone_number": "714-434-0404",
            "fax_number": "714-434-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THANG DINH NGUYEN MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THANG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "714-434-0404",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A76049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.