Organization Active NPI

Kelvin H Nguyen Foot & Ankle Corporation

  • Foot & Ankle Surgery Podiatrist
  • Monterey Park, CA
National Provider Identifier
1740563055
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4912 Issued in CA
Legal business name
KELVIN H NGUYEN FOOT & ANKLE CORPORATION
Practice address
210 N Garfield Ave
Suite 305
Monterey Park, CA 91754-1746
Phone
(626) 310-4507
Fax
(626) 532-8733
NPI assigned
Sep 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Dr. Kelvin Tang Nguyen, DPM
Title
Ceo
Phone
(626) 310-4507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E4912 CA Primary

Addresses

Primary practice location

210 N Garfield Ave
Suite 305
Monterey Park, CA 91754-1746

Mailing address

10091 Northampton Ave
Westminster, CA 92683-7535
Phone (626) 310-4507

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1740563055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10091 NORTHAMPTON AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837535",
            "telephone_number": "626-310-4507",
            "fax_number": "626-532-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N GARFIELD AVE",
            "address_2": "SUITE 305",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541746",
            "telephone_number": "626-310-4507",
            "fax_number": "626-532-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELVIN H NGUYEN FOOT & ANKLE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_middle_name": "TANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-310-4507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.