Active NPI
Chloe T Nguyen, DO
- Pediatrics Physician
- Grand Terrace, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20A16906
- Practice address
- 11980 Mount Vernon Ave
Grand Terrace, CA 92313-5172 - Phone
- (954) 355-4400
- NPI assigned
- Nov 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | UO5036 | FL | |
| Pediatrics Physician | 208000000X | 20A16906 | CA | Primary |
Addresses
Primary practice location
11980 Mount Vernon Ave
Grand Terrace, CA 92313-5172
Mailing address
1511 97TH St S
Tacoma, WA 98444-4174
Phone (253) 682-7428
Other names 1
- Thanh-Hoa T Nguyen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A16906 | CA | MD | Pediatrics Physician |
| UO5036 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Service Alliance | Current | Accepting new patients | |
| Health Service Alliance | Current | Accepting new patients | |
| Health Service Alliance | Current | Accepting new patients | |
| Foothills Psychological Services, Inc. | Past | Accepting new patients |
Locations
13193 Central Ave
Ste 110
Chino, CA 91710
Phone (909) 591-6227
13193 Central Ave
Ste 100
Chino, CA 91710
Phone (909) 464-9675
220 S Indian Hill Blvd
Ste F
Claremont, CA 91711
Phone (909) 281-5800
5050 San Bernardino St
Montclair, CA 91763
Phone (909) 281-5800
600 N Euclid Ave
Ste 204
Upland, CA 91786
Phone (909) 379-1513
600 N Euclid Ave
Ste 202
Upland, CA 91786
Phone (840) 237-3344
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Chino, CA
- NPI 1801307368
-
- Psychologist
- Rancho Cucamonga, CA
- NPI 1336858943
-
- Family Medicine Physician
- Hesperia, CA
- NPI 1689492167
-
- Psychologist
- Upland, CA
- NPI 1336121888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1750895934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 97TH ST S",
"city": "TACOMA",
"state": "WA",
"postal_code": "984444174",
"telephone_number": "253-682-7428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11980 MOUNT VERNON AVE",
"city": "GRAND TERRACE",
"state": "CA",
"postal_code": "923135172",
"telephone_number": "954-355-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "CHLOE",
"middle_name": "T",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-26",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "UO5036",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "20A16906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THANH-HOA",
"last_name": "NGUYEN",
"middle_name": "T",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Terrace, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.