Peter Nguyen, R.T.(R)(VI)(ARRT)

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

505034 Issued in FL

Practice address

1911 Johnson Ave
San Luis Obispo, CA 93401-4131

Phone

(805) 543-5353

NPI assigned

May 3, 2019

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1780249839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5538 W 72ND PL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800033304",
            "telephone_number": "321-615-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 JOHNSON AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014131",
            "telephone_number": "805-543-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PETER",
        "credential": "R.T.(R)(VI)(ARRT)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "505034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nessa NG
• Julie Ngov
• Amanda Nguyen
• Anthony Nguyen, DMD
• Katrina Nguyen, PHARM.D
• Taryn Trang Nguyen
• Thomas Toan Nguyen, MD
• Tuan Dinh Nguyen, PHARMD
• Joanne Marie Nibbio, LMFT
• Jonathan Nibbio, LMFT

• Vascular & Interventional Radiology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Vascular & Interventional Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.