Tuan Xuan Nguyen, MD, a Prof Corp.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A48636 Issued in CA

Legal business name

TUAN XUAN NGUYEN, MD, A PROF CORP.

Practice address

14221 N. Euclid St
Suite H
Garden Grove, CA 92843-4991

Phone

(714) 530-2420

Fax

(714) 530-2478

NPI assigned

Mar 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Tuan Xuan Nguyen, MDNPI 1679519821

Title

President

Phone

(714) 530-2420

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tuan Xuan Nguyen, MD

  • Internal Medicine Physician
  • Garden Grove, CA
  • NPI 1679519821
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1760623847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14221 N. EUCLID ST",
            "address_2": "SUITE H",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434991",
            "telephone_number": "714-530-2420",
            "fax_number": "714-530-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 N. EUCLID ST",
            "address_2": "SUITE H",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434991",
            "telephone_number": "714-530-2420",
            "fax_number": "714-530-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUAN XUAN NGUYEN, MD, A PROF CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TUAN XUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-530-2420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A48636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A486360",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ08624Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharayne Tuala
• Tuan Anh Luong DDS Inc
• Tuan Duc Nguyen Chiropractic Inc.
• Tuan Duc Nguyen DC, LLC
• Tuan V Ta MD Inc
• Anny Tucker
• Sudeep Tumma
• Tung Ngo & Tu Nguyen Wellness Dental Group
• Tung Phan MD Inc
• Jaelani Turman

• Internal Medicine Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.