Organization Active NPI

David Trung D. Nguyen, M.D., Inc.

  • Plastic Surgery Physician
  • San Bernardino, CA
National Provider Identifier
1821238064
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A82169 Issued in CA
Legal business name
DAVID TRUNG D. NGUYEN, M.D., INC.
Practice address
1869 N Waterman Ave
San Bernardino, CA 92404-4830
Phone
(909) 883-8686
Fax
(909) 881-6537
NPI assigned
Feb 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
David-Trung D Nguyen
Title
President
Phone
(909) 883-8686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X A82169 CA Primary

Addresses

Primary practice location

1869 N Waterman Ave
San Bernardino, CA 92404-4830

Mailing address

1869 N Waterman Ave
San Bernardino, CA 92404-4830
Phone (909) 883-8686

National Provider Directory

National Provider Directory

Locations

1353 Old Temescal Rd
Ste 100
Corona, CA 92881

1353 Old Temescal Rd
#100
Corona, CA 92881

1869 N Waterman Ave
San Bernardino, CA 92404
Phone (909) 883-8686

401 E Highland Ave
Ste 352
Sn Bernrdno, CA 92404
Phone (909) 883-8686

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1821238064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044830",
            "telephone_number": "909-883-8686",
            "fax_number": "909-881-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044830",
            "telephone_number": "909-883-8686",
            "fax_number": "909-881-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID TRUNG D. NGUYEN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-28",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DAVID-TRUNG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-883-8686"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A82169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.