Joseph M Nguyen, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A8475 Issued in CA

Practice address

3340 Tully Rd
Suite C8A
Modesto, CA 95350-0838

Phone

(209) 524-8700

Fax

(209) 524-8701

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Capital City Housecalls, Inc

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1861835019
  NPD Authorized official
• California Care Level Management Direct Medical Group, Inc

  • General Practice Physician
  • Woodland Hills, CA
  • NPI 1659357341
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1699796227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 CORPORATE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313875",
            "telephone_number": "916-520-4466",
            "fax_number": "530-298-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 TULLY RD",
            "address_2": "SUITE C8A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500838",
            "telephone_number": "209-524-8700",
            "fax_number": "209-524-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AT836Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hoaiminh Nguyen, P.A-C
• Huong Nguyen
• Huy Nguyen, DMD
• Jaleya Nguyen
• Jenny Nguyen
• Kaylie Kim Nguyen
• Loi D Nguyen, DDS
• Marina Nhut Nguyen, NP
• My Nguyen, RPH
• Nga Nguyen

• Family Medicine Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.