Individual provider Active NPI

Chloe T Nguyen, DO

  • Pediatrics Physician
  • Grand Terrace, CA
National Provider Identifier
1750895934
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20A16906 Issued in CA
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

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230816003768 CA Practitioner - Pediatric Medicine 9436511805 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A16906CAMDPediatrics Physician
UO5036FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Service Alliance CurrentSince May 10, 2023 Accepting new patients
Health Service Alliance CurrentSince May 10, 2023 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.

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

Verify at the official NPI Registry.