Active NPI
Tien Gu, D.O.
- General Practice Physician
- Murrieta, CA
National Provider Identifier
1699936005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 20A5165
- Practice address
- 40423 Skypark LN
Murrieta, CA 92562-5952 - Phone
- (951) 677-3647
- NPI assigned
- Jun 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 20A5165 | CA | Primary |
Addresses
Primary practice location
40423 Skypark LN
Murrieta, CA 92562-5952
Mailing address
40423 Skypark LN
Murrieta, CA 92562-5952
Phone (951) 677-3647
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A5165 | CA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1699936005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40423 SKYPARK LN",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925625952",
"telephone_number": "951-677-3647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40423 SKYPARK LN",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925625952",
"telephone_number": "951-677-3647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GU",
"first_name": "TIEN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-18",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "20A5165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.