Individual provider Active NPI

Tamuyen Nguyen, M.D.

  • Dermatology Physician
  • Upland, CA
National Provider Identifier
1710041686
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A80098 Issued in CA
Practice address
1310 San Bernardino Rd
Suite 207
Upland, CA 91786-4979
Phone
(909) 946-8600
Fax
(909) 946-8604
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A80098 CA Primary

Addresses

Primary practice location

1310 San Bernardino Rd
Suite 207
Upland, CA 91786-4979

Mailing address

1310 San Bernardino Rd
Suite 207
Upland, CA 91786-4979
Phone (909) 946-8600

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040412001411 CA Practitioner - Dermatology 7214921311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Missouri, Kansas City, School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Skin Clinic and Surgery PCGroup PAC ID 5092997247, 2 clinicians

Practice addresses (Care Compare)

1310 San Bernardino Rd
Suite 207
Upland, CA 91786-4985
Phone (909) 946-8600

Hospital & facility affiliations

  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions94
Removal of nail tissue1-10
Skin biopsy44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A80098CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Skin Clinic & Surgery, PC Dermatology CurrentSince Dec 3, 2010 Accepting new patients
Curators of the University of Missouri Past Accepting new patients
Robert West MD Inc Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Hanford Community Hospital Past Accepting new patients

Locations

1310 San Bernardino Rd
Ste 207
Upland, CA 91786
Phone (909) 946-8600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FABCBA

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1710041686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SAN BERNARDINO RD",
            "address_2": "SUITE 207",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864979",
            "telephone_number": "909-946-8600",
            "fax_number": "909-946-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SAN BERNARDINO RD",
            "address_2": "SUITE 207",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864979",
            "telephone_number": "909-946-8600",
            "fax_number": "909-946-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TAMUYEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A80098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.