Active NPI
Bach Xuan Nguyen Dental Corporation
Doing business as Rossmoor Dental Group
- General Practice Dentistry
- Seal Beach, CA
National Provider Identifier
1750717427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- BACH XUAN NGUYEN DENTAL CORPORATION
- Doing business as
- Rossmoor Dental Group
- Practice address
- 12419 Seal Beach Blvd
Seal Beach, CA 90740-2710 - Phone
- (562) 431-0393
- Fax
- (562) 431-0484
- NPI assigned
- Sep 25, 2013
- Last updated
- Nov 12, 2013
- 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
- Dr. Bach X Nguyen, DDS
- Title
- Owner
- Phone
- (562) 431-0393
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
12419 Seal Beach Blvd
Seal Beach, CA 90740-2710
Mailing address
17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890
Other names 1
- Rossmoor Dental Group
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2325702 | Rossmoor Dental Group | Certificate of waiver | Jun 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
12419 Seal Beach Blvd
Seal Beach, CA 90740
Phone (562) 431-0393
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- General Practice Dentistry
- Seal Beach, CA
- NPI 1881207009
-
- Dentist
- Seal Beach, CA
- NPI 1043947906
-
- Dentist
- Seal Beach, CA
- NPI 1063073385
-
- Dentist
- Seal Beach, CA
- NPI 1538093612
-
- General Practice Dentistry
- Lake Forest, CA
- NPI 1003434499
-
- Dentist
- Seal Beach, CA
- NPI 1669904496
-
- Dentist
- Seal Beach, CA
- NPI 1477466365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384214400000",
"number": "1750717427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17000 RED HILL AVE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926145626",
"telephone_number": "714-845-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12419 SEAL BEACH BLVD",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907402710",
"telephone_number": "562-431-0393",
"fax_number": "562-431-0484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACH XUAN NGUYEN DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-25",
"last_updated": "2013-11-12",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "BACH",
"authorized_official_middle_name": "X",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "562-431-0393",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rossmoor Dental Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Seal Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.