Organization Active NPI

Joanna Nguyen, MD Inc

  • Plastic Surgery Physician
  • West Hollywood, CA
National Provider Identifier
1689103707
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A124152 Issued in CA
Legal business name
JOANNA NGUYEN, MD INC
Practice address
9201 W Sunset Blvd Ste 718
West Hollywood, CA 90069-3708
Phone
(310) 737-8592
Fax
(310) 870-7343
NPI assigned
Jun 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Authorized official

Name
Joanna Nguyen, MD
Title
Director
Phone
(310) 737-8592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X A124152 CA Primary

Addresses

Primary practice location

9201 W Sunset Blvd Ste 718
West Hollywood, CA 90069-3708

Mailing address

9201 W Sunset Blvd Ste 718
West Hollywood, CA 90069-3708
Phone (310) 737-8592

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171031000344 CA Part B Supplier - Clinic/Group Practice 8123394509 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA; West Hollywood, CA

National Provider Directory

National Provider Directory

Locations

4220 W 3rd St
Ste 102
Los Angeles, CA 90020
Phone (213) 384-0199

9201 W Sunset Blvd
Ste 718
West Hollywood, CA 90069
Phone (310) 737-8592

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": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1689103707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 718",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693708",
            "telephone_number": "310-737-8592",
            "fax_number": "310-870-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 718",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693708",
            "telephone_number": "310-737-8592",
            "fax_number": "310-870-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNA NGUYEN, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-737-8592",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A124152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.