Active NPI
Bang D Nguyen M.D, Inc
- General Practice Physician
- Garden Grove, CA
National Provider Identifier
1730316894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A39893
- Legal business name
- BANG D NGUYEN M.D, INC
- Practice address
- 10961 Westminster Ave
Garden Grove, CA 92843-4929 - Phone
- (714) 636-1744
- Fax
- (714) 636-1745
- NPI assigned
- Jun 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bang D Nguyen, M.D.
- Title
- President
- Phone
- (714) 636-1744
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A39893 | CA | Primary |
Addresses
Primary practice location
10961 Westminster Ave
Garden Grove, CA 92843-4929
Mailing address
PO Box 2009
Westminster, CA 92684-2009
Phone (714) 636-1744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A398930 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245110400000",
"number": "1730316894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2009",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926842009",
"telephone_number": "714-636-1744",
"fax_number": "714-636-1745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10961 WESTMINSTER AVE",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928434929",
"telephone_number": "714-636-1744",
"fax_number": "714-636-1745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANG D NGUYEN M.D, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-16",
"last_updated": "2009-06-16",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "BANG",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-636-1744",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "A39893",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A398930",
"state": "CA"
}
],
"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 Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.