Active NPI
Phuong T Nguyen, D.C.
- Chiropractor
- Fountain Valley, CA
National Provider Identifier
1801935002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC28708
- Practice address
- 9475 Heil Ave
D
Fountain Valley, CA 92708-2258 - Phone
- (562) 652-7630
- Fax
- (714) 528-4636
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC28708 | CA | Primary |
Addresses
Primary practice location
9475 Heil Ave
D
Fountain Valley, CA 92708-2258
Mailing address
212 Roskelly Way
Placentia, CA 92870-7461
Phone (562) 652-7630
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC28708 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214265600000",
"number": "1801935002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 ROSKELLY WAY",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928707461",
"telephone_number": "562-652-7630",
"fax_number": "714-528-4636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9475 HEIL AVE",
"address_2": "D",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927082258",
"telephone_number": "562-652-7630",
"fax_number": "714-528-4636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "PHUONG",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2008-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC28708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.