Hung Anh Ba Nguyen MD Incorported

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

A96119 Issued in CA

Legal business name

HUNG ANH BA NGUYEN MD INCORPORTED

Doing business as

Zinfandel Medical Group

Practice address

2001 Zinfandel Dr
Suite B2
Rancho Cordova, CA 95670-4265

Phone

(916) 369-8682

NPI assigned

Oct 22, 2014

Organization subpart

Yes

Parent organization

MEDVANTX, INCAs reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• Zinfandel Medical Group Doing business as

Part of

Tri - State Medical Group Inc

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1700281532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ZINFANDEL DR",
            "address_2": "SUITE B2",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956704265",
            "telephone_number": "916-369-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNG ANH BA NGUYEN MD INCORPORTED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A96119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zinfandel Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carl Chao Chia Hsu, MD
• Owen Y Hsu, OD
• Virginia Hua-Chian Hsu, M.D.
• Andre Michael Huddleston Sr.
• Coleman Alan Humbert, NP
• Hung G Hoang MD Incorporated
• Hung-Anh Ba Nguyen, M.D., Inc
• Darryl C. Hunter, MD
• Lynne Heimann Hurley, FNP-BC
• Lois CHI-May Hurr

• Non-Pharmacy Dispensing Site in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.