St. Albert Medical Clinic Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ST. ALBERT MEDICAL CLINIC INC

Practice address

306 E Pacific Coast Hwy
#102
Long Beach, CA 90806-6259

Phone

(562) 599-0981

Fax

(562) 599-0972

NPI assigned

Mar 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Minh N Nguyen, M.D.NPI 1528166105

Title

Medical Director

Phone

(562) 599-0981

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Saint Albert Medical Clinic Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Minh Ngoc Nguyen, MD

  • Cardiovascular Disease Physician
  • Long Beach, CA
  • NPI 1528166105

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Brian Paul Mitu, F.N.P., P.A.-C

  • Primary Care Nurse Practitioner
  • Fountain Valley, CA
  • NPI 1528015849
  NPD
• Serap Sobnosky, MD

  • Cardiovascular Disease Physician
  • Long Beach, CA
  • NPI 1447302823

  Internal Medicine

  NPD
• Steve Nguyen, D.O.

  • Gastroenterology Physician
  • Rosemead, CA
  • NPI 1649357732
  NPD (past)
• Dung Van Tran, M.D.

  • General Practice Physician
  • Patton, CA
  • NPI 1629020425
  NPD (past)

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1710954136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E PACIFIC COAST HWY",
            "address_2": "#102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908066259",
            "telephone_number": "562-599-0981",
            "fax_number": "562-599-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E PACIFIC COAST HWY",
            "address_2": "#102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908066259",
            "telephone_number": "562-599-0981",
            "fax_number": "562-599-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ALBERT MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-599-0981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0077170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Albert Medical Clinic Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cardiovascular Disease Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.