Tea Tu Nguyen, D.P.M.
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Freedom, CA
NPI 1811282494 · NPPES record last updated Dec 18, 2018
Key facts
- NPI
- 1811282494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- E5256 (CA)
- Practice address
- 243 Green Valley Rd Ste a
Freedom, CA 95019-3133 - Phone
- (831) 728-8844
- Fax
- (831) 763-1001
- NPI assigned
- Jun 13, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 26, 2021 through Mar 26, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5256 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Point Podiatry, Inc | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
243 Green Valley Rd
Ste A
Freedom, CA 95019
Phone (831) 728-4595
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E5256 | CA | Yes |
Addresses
Primary practice location
243 Green Valley Rd Ste a
Freedom, CA 95019-3133
Mailing address
243 Green Valley Rd Ste a
Freedom, CA 95019-3133
Phone (831) 288-3400
Other providers in Freedom, CA
- Jacqueline Morris-Lopez
- Maira Paulina Munoz
- Michael Murphy
- Jacqueline Naranjo-Bernabe
- Eric Nguyen
- Trieu Nguyen
- Northern Nursing Anesthesia Services PC
- Robert D Northern Jr.
- Northland Hearing Centers, Inc.
- Magdalena Nowosielska
All providers in Freedom, CA · Foot & Ankle Surgery Podiatrist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.