Phuoc Huu Nguyen, MD, Inc.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A64287 Issued in CA

Legal business name

PHUOC HUU NGUYEN, MD, INC.

Practice address

310 N Citrus Ave
Suite a
Azusa, CA 91702-3957

Phone

(626) 969-8688

Fax

(626) 812-9473

NPI assigned

Oct 1, 2007

Last updated

Nov 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Phuoc Huu Nguyen, MDNPI 1770556821

Title

President

Phone

(626) 969-8688

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• Phuoc Huu Nguyen, MD

  • Anesthesiology Physician
  • San Dimas, CA
  • NPI 1770556821
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1750578126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18760 AMAR RD",
            "address_2": "PMB # 187",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894169",
            "telephone_number": "626-969-8688",
            "fax_number": "626-812-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N CITRUS AVE",
            "address_2": "SUITE A",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917023957",
            "telephone_number": "626-969-8688",
            "fax_number": "626-812-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHUOC HUU NGUYEN, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PHUOC",
        "authorized_official_middle_name": "HUU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-969-8688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A64287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A642870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Luu DDS Inc (Canyon City Dental)
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• Jonhny Pham, PT, DPT
• Kevin Pham, PHARMACIST
• Lisa Phan, PHARMD
• Ping-Lin Ben Chung, DDS, DMSC, Inc
• Pmed3
• Frances Antoinette Pobre, AGNP
• Jacquelyn Postell, PSY.D
• Prakash Katbamna Dental Corp. (noble dental office)

• Anesthesiology Physician in Azusa, CA
• Providers in Azusa, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.