Individual provider Active NPI

Anh Tai Nguyen, MD

  • Family Medicine Physician
  • West Valley City, UT
National Provider Identifier
1699764407
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
176263-1205 Issued in UT
Practice address
1819 W 3500 S
Suite 1C
West Valley City, UT 84119-3457
Phone
(801) 975-9707
Fax
(801) 975-9373
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 176263-1205 UT Primary

Addresses

Primary practice location

1819 W 3500 S
Suite 1C
West Valley City, UT 84119-3457

Mailing address

1819 W 3500 S
Suite 1C
West Valley City, UT 84119-3457
Phone (801) 975-9707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699764407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 W 3500 S",
            "address_2": "SUITE 1C",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193457",
            "telephone_number": "801-975-9707",
            "fax_number": "801-975-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 W 3500 S",
            "address_2": "SUITE 1C",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193457",
            "telephone_number": "801-975-9707",
            "fax_number": "801-975-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANH",
        "middle_name": "TAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "176263-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.