Organization Active NPI

John Yen Nguyen MD PLLC

Doing business as Pioneer Medical Center

  • General Practice Physician
  • Arlington, TX
National Provider Identifier
1700983939
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
J6630 Issued in TX
Legal business name
JOHN YEN NGUYEN MD PLLC
Doing business as
Pioneer Medical Center
Practice address
1321 E Pioneer Parkway
#A
Arlington, TX 76010
Phone
(817) 265-8777
Fax
(817) 265-0802
NPI assigned
Sep 20, 2006
Last updated
Nov 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Yen Nguyen, MDNPI 1013093749
Title
Owner
Phone
(817) 265-8777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X J6630 TX Primary

Addresses

Primary practice location

1321 E Pioneer Parkway
#A
Arlington, TX 76010

Mailing address

1321 E Pioneer Parkway
#A
Arlington, TX 76010
Phone (817) 265-8777

Other identifiers 2

IdentifierTypeStateIssuer
0074DPOtherTXBCBS
8A0583OtherTXBCBS

Other names 1

  • Pioneer Medical Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0965001Pioneer Medical Center1321 East Pioneer Parkway, Arlington, TX 76010Certificate of waiverSep 7, 2027

National Provider Directory

National Provider Directory

Locations

1321 E Pioneer Pkwy
#A
Arlington, TX 76010
Phone (817) 265-8777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1700983939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 E PIONEER PARKWAY",
            "address_2": "#A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76010",
            "telephone_number": "817-265-8777",
            "fax_number": "817-265-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 E PIONEER PARKWAY",
            "address_2": "#A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76010",
            "telephone_number": "817-265-8777",
            "fax_number": "817-265-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN YEN NGUYEN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "YEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-265-8777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "J6630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0074DP",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8A0583",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.