John Nguyen, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DDS103405 Issued in CA

Practice address

3445 Pacific Coast Hwy Ste 205
Torrance, CA 90505-6659

Phone

(510) 449-5336

NPI assigned

Feb 27, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 14, 2021 through Dec 14, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Thomas T. Omoto, DMD Inc

  dba Peninsula Oral Surgery & Implants

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Torrance, CA
  • NPI 1255357893

  Single Specialty

  NPD

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642896000000",
    "number": "1821480856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 PACIFIC COAST HWY STE 205",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056659",
            "telephone_number": "510-449-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 PACIFIC COAST HWY STE 205",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056659",
            "telephone_number": "510-449-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JOHN",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-27",
        "last_updated": "2022-01-23",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "DDS103405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Nguyen, PHARMD
• Jennifer Nguyen
• Jennifer Honghanh Nguyen, N.P.
• Jenny Yen Nguyen, MS, RD
• Jocelyne Nguyen
• Johnny Quang Nguyen, PHARMD
• Jonathan Thien Nguyen, DDS
• Kathy Van Nguyen, PHARM. D.
• Katie Nguyen, MD
• Khanh Nguyen

• Oral and Maxillofacial Surgery (Dentist) in Torrance, CA
• Providers in Torrance, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.