Individual provider Active NPI

Son VI Nguyen, M.D.

  • Psychiatry Physician
  • Amarillo, TX
National Provider Identifier
1699775908
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
H1814 Issued in TX
Practice address
1015 W 8TH Ave
Suite 1
Amarillo, TX 79101-2031
Phone
(806) 371-0083
Fax
(806) 371-0511
NPI assigned
Jul 28, 2005
Last updated
Oct 22, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X H1814 TX Primary

Addresses

Primary practice location

1015 W 8TH Ave
Suite 1
Amarillo, TX 79101-2031

Mailing address

1015 W 8TH Ave
Suite 1
Amarillo, TX 79101-2031
Phone (806) 371-0083

Other identifiers 1

IdentifierTypeStateIssuer
131615002MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101109001531 TX Practitioner - Psychiatry 5799970257 Practice locations: Amarillo, TX

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1015 W
8TH Suite 1
Amarillo, TX 79101-2031
Phone (806) 371-0083

1015 W 8TH Ave
Suite 1
Amarillo, TX 79101-2031

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1699775908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 W 8TH AVE",
            "address_2": "SUITE 1",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791012031",
            "telephone_number": "806-371-0083",
            "fax_number": "806-371-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W 8TH AVE",
            "address_2": "SUITE 1",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791012031",
            "telephone_number": "806-371-0083",
            "fax_number": "806-371-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SON",
        "middle_name": "VI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "H1814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131615002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.