365 Medical Group, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

365 MEDICAL GROUP, INC

Practice address

12865 Main St Ste 204
Garden Grove, CA 92840-8200

Phone

(714) 360-0739

NPI assigned

Jan 29, 2021

Last updated

Jan 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tan Nguyen, MDNPI 1609839299

Title

Owner

Phone

(714) 360-0739

Specialties & licenses 1

Addresses

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 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tan The Nguyen, M.D.

  • Internal Medicine Physician
  • Garden Grove, CA
  • NPI 1609839299
  NPD Authorized official
• Georgina Calderon, RN, DNP

  • Adult Health Nurse Practitioner
  • Tustin, CA
  • NPI 1700437522
  NPD
• Padmaja Gadadoss

  • Family Nurse Practitioner
  • Irvine, CA
  • NPI 1952657702
  NPD
• Andy Huy Nguyen, D.O.

  • Internal Medicine Physician
  • Encinitas, CA
  • NPI 1053748459
  NPD
• Emily Nguyen, MD

  • Student in an Organized Health Care Education/Training Program
  • Orange, CA
  • NPI 1033057872
  NPD
• Kimoanh Thi Nguyen

  • Nurse Practitioner
  • Garden Grove, CA
  • NPI 1801556188
  NPD
• Richard Tran, M.D.

  • Internal Medicine Physician
  • Encinitas, CA
  • NPI 1578883385
  NPD
• Dung Quoc Truong, NP

  • Nurse Practitioner
  • Los Angeles, CA
  • NPI 1205209285
  NPD

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1780275016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12865 MAIN ST STE 204",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928408200",
            "telephone_number": "714-360-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12865 MAIN ST STE 204",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928408200",
            "telephone_number": "714-360-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "365 MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-360-0739",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 4 U Dental
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• 7 Heaven Hospice Inc.
• A a Care Center

• 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 Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.