Organization Active NPI

Hoang Tran Nguyen MD Inc

  • Internal Medicine Physician
  • Fountain Valley, CA
National Provider Identifier
1730359530
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HOANG TRAN NGUYEN MD INC
Practice address
16040 Harbor Blvd
#G
Fountain Valley, CA 92708-1327
Phone
(714) 531-7930
Fax
(719) 531-7997
NPI assigned
Mar 7, 2008
Last updated
Mar 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Hoang Tran Nguyen, M.DNPI 1457329179
Title
Dortor
Phone
(714) 531-7930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X CA Primary

Addresses

Primary practice location

16040 Harbor Blvd
#G
Fountain Valley, CA 92708-1327

Mailing address

16040 Harbor Blvd
#G
Fountain Valley, CA 92708-1327
Phone (714) 531-7930

Other identifiers 1

IdentifierTypeStateIssuer
00A803210MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050303001020 CA Part B Supplier - Clinic/Group Practice 9537113311 Receives reassigned benefits from 1 practitioner
Practice locations: Fountain Valley, CA; Garden Grove, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1016920Hoang Tran Nguyen MD16040 Harbor Blvd Suite G, Fountain Valley, CA 92708Certificate of waiverSep 10, 2027

National Provider Directory

National Provider Directory

Locations

16040 Harbor Blvd
Ste G
Fountain Vly, CA 92708
Phone (657) 254-6598

10672 Chapman Ave
Ste 4
Garden Grove, CA 92840
Phone (714) 867-6583

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1730359530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16040 HARBOR BLVD",
            "address_2": "#G",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081327",
            "telephone_number": "714-531-7930",
            "fax_number": "719-531-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16040 HARBOR BLVD",
            "address_2": "#G",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081327",
            "telephone_number": "714-531-7930",
            "fax_number": "719-531-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOANG TRAN NGUYEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HOANG",
        "authorized_official_middle_name": "TRAN",
        "authorized_official_title_or_position": "DORTOR",
        "authorized_official_telephone_number": "714-531-7930",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A803210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.

Verify at the official NPI Registry.