Tan Duy Nguyen, D.P.M.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

E3377 Issued in CA

Practice address

333 Estudillo Ave
Suite a
San Leandro, CA 94577-4717

Phone

(510) 351-1411

Fax

(510) 351-1412

NPI assigned

Mar 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Fidelis Diagnostics, Inc.

  • Electroneurodiagnostic Specialist/Technologist
  • Los Angeles, CA
  • NPI 1962460071
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811026339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 FARRELLY DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771619",
            "telephone_number": "510-351-1411",
            "fax_number": "510-351-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ESTUDILLO AVE",
            "address_2": "SUITE A",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774717",
            "telephone_number": "510-351-1411",
            "fax_number": "510-351-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TAN",
        "middle_name": "DUY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E3377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E33770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lan H Nguyen, PHARMACIST
• Minh Hieu Thi Nguyen, PHARM.D.
• Monica Nguyen, O.D.
• Nguyet Thi Nguyen
• Phuc Vinh Truong Nguyen
• Tan Thanh Nguyen, RPH
• Thai-Son Hoang Nguyen, PHARM D
• Thong Nguyen, M.S, CCC-SLP
• Thu Nguyen
• Tiffany Nguyen, BCBA

• Primary Podiatric Medicine Podiatrist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Primary Podiatric Medicine Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.