Active NPI
David Trung D. Nguyen, M.D., Inc.
- Plastic Surgery Physician
- San Bernardino, CA
National Provider Identifier
1821238064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A82169
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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 DirectoryLocations
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.
-
- Plastic Surgery Physician
- San Bernardino, CA
- NPI 1609928803
-
- Plastic Surgery Physician
- San Bernardino, CA
- NPI 1528086279
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.