Tien Huy Nguyen, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

20A8570 Issued in CA

Practice address

780 E Washington Blvd
Suite 105
Crescent City, CA 95531-8397

Phone

(707) 464-8611

Fax

(707) 464-8614

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Sutter West Bay Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Santa Rosa, CA
  • NPI 1811242563
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720033889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 E WASHINGTON BLVD",
            "address_2": "SUITE 105",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318397",
            "telephone_number": "707-464-8611",
            "fax_number": "707-464-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 E WASHINGTON BLVD",
            "address_2": "SUITE 105",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318397",
            "telephone_number": "707-464-8611",
            "fax_number": "707-464-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TIEN",
        "middle_name": "HUY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A8570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nkiruka Ndu, M.D
• Mark Robert Nelson
• Nancy Newman, RDH
• Chan Nguyen, M.D.
• Douglas Nguyen
• Vincent Vinh Nguyen, PHARMD
• Jeanette Sunshine Nichol, LVN
• Rich-Allana Mauree Nichols, CMT
• Crystal Rae Nielsen, MSW
• Dolly Noon

• Surgery Physician in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.