Jessica Nguyen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110485 Issued in CA

Practice address

2041 Bronze Star Dr Ste 100
Woodland, CA 95776-5428

Phone

(530) 662-7592

NPI assigned

Aug 19, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Gill and Ghazal Dental Corporation

  • General Practice Dentistry
  • Woodland, CA
  • NPI 1104157478
  NPD (past)

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1760214712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31802 TRAILWAY DR",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873950",
            "telephone_number": "510-303-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 BRONZE STAR DR STE 100",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957765428",
            "telephone_number": "530-662-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JESSICA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Van Nguyen, DO
• Dana Nguyen, RPH
• Emmaline Nguyen
• Filbert Nguyen, MD
• Hoang Maxx Minh Nguyen, DDS
• Katie T Nguyen, SLP
• Meuy-Nai Nguyen
• Tan V Nguyen, MD
• Jake Ni, MD
• Laura Casby Nichols, MSW

• General Practice Dentistry in Woodland, CA
• Providers in Woodland, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.

Verify at the official NPI Registry.