Individual provider Active NPI

Lien Huynh Thi Nguyen, MD

  • Pediatrics Physician
  • Stockton, CA
National Provider Identifier
1770555013
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A37377 Issued in CA
Practice address
1545 Saint Marks PLZ Ste 3
Stockton, CA 95207-6474
Phone
(209) 957-3901
Fax
(209) 957-2857
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A37377 CA
Pediatrics Physician 208000000X A37377 CA Primary

Addresses

Primary practice location

1545 Saint Marks PLZ Ste 3
Stockton, CA 95207-6474

Mailing address

1545 Saint Marks PLZ Ste 3
Stockton, CA 95207-6474
Phone (209) 957-3901

Other identifiers 1

IdentifierTypeStateIssuer
6469530MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinh Vu, MD., Inc. Pediatrics CurrentSince May 14, 2023 Accepting new patients
Hill Physicians Medical Group - PPO Program PastSince Apr 23, 2023 Accepting new patients

Locations

73 W March Ln
Ste C
Stockton, CA 95207
Phone (209) 957-3901

1545 Saint Marks Plz
Ste 3
Stockton, CA 95207
Phone (209) 957-3901

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1770555013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 SAINT MARKS PLZ STE 3",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076474",
            "telephone_number": "209-957-3901",
            "fax_number": "209-957-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 SAINT MARKS PLZ STE 3",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076474",
            "telephone_number": "209-957-3901",
            "fax_number": "209-957-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LIEN",
        "middle_name": "HUYNH THI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A37377",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A37377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6469530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.