Individual provider Active NPI

David Nguyen, DO

  • Family Medicine Physician
  • Montclair, CA
National Provider Identifier
1669961801
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A17696 Issued in CA
Practice address
5000 San Bernardino St
Montclair, CA 91763-2326
Phone
(909) 625-8231
NPI assigned
May 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A17696 CA Primary
Hospitalist Physician 208M00000X 20A17696 CA

Addresses

Primary practice location

5000 San Bernardino St
Montclair, CA 91763-2326

Mailing address

1769 S Biscayne CT
Anaheim, CA 92804-6401
Phone (562) 787-4966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200316000160 CA Practitioner - HospitalistPractitioner - Family Practice 8426486077 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
William Carey University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apollomed Hospitalists a Medical CorporationGroup PAC ID 5991857708, 31 clinicians

Practice addresses (Care Compare)

525 N Garfield Ave
Monterey Park, CA 91754-1202
Phone (818) 839-5200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A17696CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Astrana Care Hospitalists, a Medical Corporation Hospitalist CurrentSince Sep 14, 2021 Accepting new patients
Southern California Hospitalist Network Medical Group Inc CurrentSince Oct 1, 2021 Accepting new patients
Amg, a Professional Medical Corporation Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Inland Physicians Service Inc Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
E Lin, DO, Inc. Family Medicine CurrentSince Jul 25, 2022 Accepting new patients
Kuancheng Chen MD Corp PastSince May 3, 2010 Accepting new patients

Locations

1680 S Garfield Ave
Ste 204
Alhambra, CA 91801
Phone (818) 839-5100

925 S Garfield Ave
Alhambra, CA 91801
Phone (626) 300-8388

1658 W Valley Blvd
Ste 120
Alhambra, CA 91803

710 N Euclid St
Ste 101
Anaheim, CA 92801
Phone (714) 517-2000

622 W Duarte Rd
Ste 306
Arcadia, CA 91007
Phone (626) 821-9075

1617 S Azusa Ave
Hacienda Heights, CA 91745
Phone (626) 913-2383

1850 S Azusa Ave
Ste 201
Hacienda Heights, CA 91745
Phone (626) 913-2383

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330

2351 S Towne Ave
Pomona, CA 91766
Phone (909) 465-9337

1550 N Park Ave
Pomona, CA 91768
Phone (909) 623-0791

9089 Base Line Rd
Ste 100
Rch Cucamonga, CA 91730
Phone (909) 483-0505

1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745

275 Garnet Way
Upland, CA 91786
Phone (909) 449-4887

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1669961801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 S BISCAYNE CT",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046401",
            "telephone_number": "562-787-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SAN BERNARDINO ST",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632326",
            "telephone_number": "909-625-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-03",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A17696",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A17696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

Verify at the official NPI Registry.