Nancy Nam Tran Nguyen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

64909 Issued in CA

Practice address

1067 C St
Suite 125
Galt, CA 95632-1757

Phone

(209) 744-0463

NPI assigned

Aug 5, 2015

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Park DDS MPH Inc

  • Dentist
  • Galt, CA
  • NPI 1801213442
  NPD (past)

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1689050346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8274 WEBER AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926838135",
            "telephone_number": "949-273-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 C ST",
            "address_2": "SUITE 125",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956321757",
            "telephone_number": "209-744-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NANCY",
        "middle_name": "NAM TRAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon James Mulrooney, PT DPT
• Erin Mundy-McCook, M.A.
• Edgar Munoz Tamayo, MA, ATC
• James Myers, PA-C
• Joseph Rigoberto Navarro Jr.
• Phi Nguyen
• Angela Carla Concepcion Nicdao
• Northern Blue LLC
• Nimratpreet Nurpuri, PHARMD
• Jorge Oceguera, MD

• Dentist in Galt, CA
• Providers in Galt, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.