Individual provider Active NPI

Joseph Tuan Nguyen, D.O.

  • Family Medicine Physician
  • Garden Grove, CA
National Provider Identifier
1710209622
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A11023 Issued in CA
Practice address
12942 Harbor Blvd
Garden Grove, CA 92840-5809
Phone
(714) 618-9540
Fax
(714) 578-8629
NPI assigned
Feb 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A11023 CA Primary

Addresses

Primary practice location

12942 Harbor Blvd
Garden Grove, CA 92840-5809

Mailing address

12942 Harbor Blvd
Garden Grove, CA 92840-5809
Phone (714) 618-9540

Other practice location 1

2720 S Bristol St
Santa Ana, CA 92704-6207
Phone (888) 499-9303

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jnguyen1373369@oc.providencedirect.org
Direct Messaging Address jnguyen1373369@oc.providencedirect.org
FHIR URL https://memorialcare.org/fhir/api/FHIR/R4/ Health Information Exchange (HIE) MemorialCare Medical Foundation

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
I20100818000855 CA Practitioner - Family Practice 6305970914 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorialcare Medical FoundationGroup PAC ID 8729277314, 555 clinicians

Practice addresses (Care Compare)

1451 Irvine Blvd
Tustin, CA 92780-3804
Phone (714) 838-8878

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Valley Community Health Center, Inc. Current Accepting new patients
East Valley Community Health Center, Inc. CurrentSince Nov 1, 2014 Accepting new patients
Rancho Family Medical Group, Inc. Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Memorialcare Medical Foundation Family Medicine CurrentSince Oct 20, 2015 Accepting new patients
Bristol Park Medical Group, Inc Family Medicine Past Accepting new patients
Chuck R. Colas, D.O., P.C. Family Medicine Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Osteoarthritis Centers of America-Carlsbad, Inc. PastSince Nov 1, 2011 Accepting new patients
UC San Diego Health - Rancho Family Medical Group PastSince Nov 1, 2025 Accepting new patients

Locations

263 Church Ave
Chula Vista, CA 91910
Phone (619) 422-1324

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

26538 Moulton Pkwy
Ste 38E
Laguna Hills, CA 92653
Phone (949) 448-0656

30420 Haun Rd
Ste 160
Menifee, CA 92584

29791 Haun Rd
Ste 100
Menifee, CA 92586

1555 S Garey Ave
Pomona, CA 91766
Phone (909) 620-8088

28780 Single Oak Dr
Ste 160
Temecula, CA 92590
Phone (951) 658-9461

1451 Irvine Blvd
Tustin, CA 92780
Phone (714) 838-8408

420 S Glendora Ave
West Covina, CA 91790
Phone (626) 919-5724

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1710209622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12942 HARBOR BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405809",
            "telephone_number": "714-618-9540",
            "fax_number": "714-578-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12942 HARBOR BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405809",
            "telephone_number": "714-618-9540",
            "fax_number": "714-578-8629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2720 S Bristol St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927046207",
            "country_code": "US",
            "telephone_number": "888-499-9303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JOSEPH",
        "middle_name": "TUAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-18",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A11023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnguyen1373369@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "3345 Michelson Dr Ste 100",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926120693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnguyen1373369@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "12942 Harbor Blvd",
            "city": "Garden Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928405809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://memorialcare.org/fhir/api/FHIR/R4/",
            "affiliation": "Y",
            "endpointDescription": "MemorialCare FHIR Endpoint",
            "affiliationName": "MemorialCare Medical Foundation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "17360 Brookhurst St",
            "city": "Fountain Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927083720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.