Organization Active NPI

Hong Nguyen, M.D., Inc.

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1659684223
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A90724 Issued in CA
Legal business name
HONG NGUYEN, M.D., INC.
Practice address
1400 S Grand Ave Ste 615
Los Angeles, CA 90015-3069
NPI assigned
Jul 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Authorized official

Name
Dr. Hong Thu Nguyen, M.D.NPI 1639269160
Title
President
Phone
(858) 610-2262

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A90724 CA Primary

Addresses

Primary practice location

1400 S Grand Ave Ste 615
Los Angeles, CA 90015-3069

Mailing address

1400 S Grand Ave Ste 615
Los Angeles, CA 90015-3069
Phone (213) 748-0110

Other practice location 1

1400 S Grand Ave Ste 615
Los Angeles, CA 90015-3069

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100909001105 CA Part B Supplier - Clinic/Group Practice 1951426261 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

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": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1659684223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S GRAND AVE STE 615",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153069",
            "telephone_number": "213-748-0110",
            "fax_number": "213-402-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S GRAND AVE STE 615",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 S Grand Ave Ste 615",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900153069",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HONG NGUYEN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HONG",
        "authorized_official_middle_name": "THU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-610-2262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A90724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.