David DC Nguyen, MD, Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A54119 Issued in CA

Legal business name

DAVID DC NGUYEN, MD, CORP

Doing business as

Harbor Valley Medical Clinic

Practice address

16040 Harbor Blvd Ste I
Fountain Valley, CA 92708-1327

Phone

(714) 775-2600

Fax

(714) 775-2622

NPI assigned

Mar 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David Dungchi Nguyen, M.D.NPI 1699845156

Title

Doctor

Phone

(714) 775-2600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Harbor Valley Medical Clinic Doing business as

Practitioners 1

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

• David Dungchi Nguyen, MD

  • Pediatric Adolescent Medicine Physician
  • Fountain Valley, CA
  • NPI 1699845156
  NPD (past) Authorized official

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1821363706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20228",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927280228",
            "telephone_number": "714-775-2600",
            "fax_number": "714-775-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16040 HARBOR BLVD STE I",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081327",
            "telephone_number": "714-775-2600",
            "fax_number": "714-775-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID DC NGUYEN, MD, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DUNGCHI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "714-775-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A54119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A54119",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Valley Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Khanh P Dao, PA-C
• Tina U. Dao, O.D.
• James Michael Darne, RNFA
• Natalie H Darro, DO
• Daryoosh Samimi MD Inc
• David M. Truong, M.D. a Professional Corporation
• David Nguyen a Professional Medical Corporation
• David Tuan Mai, MD, Inc.
• Joan R. David, PH.D.
• Javier Davila, M.D.

• Clinic/Center in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.