Jennifer Thao Nguyen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

100793 Issued in CA

Practice address

888 S Figueroa St Ste 750
Los Angeles, CA 90017-2776

Phone

(530) 436-5717

NPI assigned

Aug 30, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Nguyen Tran Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1699221598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 S FIGUEROA ST STE 750",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172776",
            "telephone_number": "530-436-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S FIGUEROA ST STE 750",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172776",
            "telephone_number": "530-436-5717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 N SEPULVEDA BLVD",
            "address_2": "SUITE 1150",
            "address_purpose": "LOCATION",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454475",
            "country_code": "US",
            "telephone_number": "310-322-1814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JENNIFER",
        "middle_name": "THAO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TRAN",
            "middle_name": "NGUYEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Nguyen, D.D.S.
• Jennifer Le Nguyen, MD
• Jennifer Mai-Uyen Nguyen, FNP-C
• Jennifer Portugal Nguyen, PT, DPT
• Jennifer Sang Nguyen
• Jennifer Thuy Nguyen
• Jenny Hoang Nguyen
• Jenny Kim Nguyen, PHARMD
• Jenny Quynh Tho Nguyen, PHARMD
• Jessica Nguyen

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.