Active NPI
Tam K Nguyen, M.D.
- Internal Medicine Physician
- Garden Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A55848
- Practice address
- 12221 Brookhurst St Ste 100
Garden Grove, CA 92840-2848 - Phone
- (714) 805-8260
- Fax
- (714) 908-8086
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A55848 | CA | Primary |
Addresses
Primary practice location
12221 Brookhurst St Ste 100
Garden Grove, CA 92840-2848
Mailing address
19087 Chandon LN
Huntington Beach, CA 92648-2145
Phone (714) 757-3797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Tulane University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
19087 Chandon LN
Huntington Beach, CA 92648-2145
Hospital & facility affiliations
- Master Home Health, Inc.
- Delta Health Services Inc
- Abundant Grace Home Health Services, Inc
- Advantage Health Systems
- Excellence Home Health Care Agency Inc
- Rize Hospice
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A55848 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Care Nursing, Inc | Current | Accepting new patients | |
| Careconnectmd Ca PC | Current | Accepting new patients | |
| GN Medical Associates, Inc. | Current | Accepting new patients |
Locations
495 E Rincon St
Ste 105
Corona, CA 92879
Phone (888) 969-9808
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
17822 Beach Blvd
Ste 400
Huntington Beach, CA 92647
Phone (714) 332-7016
1750 Montgomery St
Fl 1
San Francisco, CA 94111
Phone (714) 619-8777
3401 W Sunflower Ave
#250
Santa Ana, CA 92704
Phone (415) 848-8258
473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Garden Grove, CA
- NPI 1396011367
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1366063125
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1275576522
-
- Adult Health Nurse Practitioner
- Huntington Beach, CA
- NPI 1154713790
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Dimas, CA
- NPI 1659935823
-
- Home Health Agency
- Valley Village, CA
- NPI 1932851888
-
- Home Health Agency
- Costa Mesa, CA
- NPI 1023305331
-
- Home Health Agency
- Chino, CA
- NPI 1568556801
-
- Home Health Agency
- Garden Grove, CA
- NPI 1215505623
-
- Community Based Hospice Care Agency
- Anaheim, CA
- NPI 1750993713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682121600000",
"number": "1720153182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19087 CHANDON LN",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926482145",
"telephone_number": "714-757-3797",
"fax_number": "714-541-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12221 BROOKHURST ST STE 100",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928402848",
"telephone_number": "714-805-8260",
"fax_number": "714-908-8086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TAM",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2023-04-22",
"certification_date": "2023-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A55848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.