Individual provider Active NPI

Tuan Nguyen, MD

  • Gastroenterology Physician
  • San Diego, CA
National Provider Identifier
1730270380
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G68761 Issued in CA
Practice address
4141 Fairmount Ave
Suite #201
San Diego, CA 92105-1609
Phone
(858) 278-5293
Fax
(619) 278-5393
NPI assigned
Sep 27, 2006
Last updated
Feb 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G68761 CA Primary

Addresses

Primary practice location

4141 Fairmount Ave
Suite #201
San Diego, CA 92105-1609

Mailing address

PO Box 420988
San Diego, CA 92142-0988
Phone (619) 563-4040

Other identifiers 1

IdentifierTypeStateIssuer
00G687611MedicaidCA

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
I20091021000321 CA Practitioner - Internal MedicinePractitioner - Gastroenterology 4082751227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Wisconsin, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4141 Fairmount Ave
Suite 201
San Diego, CA 92105-1609
Phone (619) 563-4040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy37
Upper gastrointestinal (GI) endoscopy for acid reflux17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tuan Nguyen, M.D., Inc Gastroenterology CurrentSince Aug 18, 2009 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince May 1, 2015 Accepting new patients
Thao Nguyen M D Inc CurrentSince May 6, 2017 Accepting new patients

Locations

2406 Ulric St
San Diego, CA 92111
Phone (858) 278-5293

4141 Fairmount Ave
Ste 201
San Diego, CA 92105
Phone (619) 563-4040

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1730270380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420988",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921420988",
            "telephone_number": "619-563-4040",
            "fax_number": "619-563-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 FAIRMOUNT AVE",
            "address_2": "SUITE #201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051609",
            "telephone_number": "858-278-5293",
            "fax_number": "619-278-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TUAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G68761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G687611",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.