Olivia Mai-Lan Nguyen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN185842 Issued in MA

Practice address

2600 Old Crow Canyon Rd Ste 100
San Ramon, CA 94583-1660

Phone

(925) 425-7545

NPI assigned

Jun 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1821659046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 SUNNYVALE AVE",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945971904",
            "telephone_number": "805-890-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 OLD CROW CANYON RD STE 100",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831660",
            "telephone_number": "925-425-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "OLIVIA",
        "middle_name": "MAI-LAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "CA107482",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN185842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie Vy Khanh Nguyen, FNP-BC
• Ellen T Nguyen, PHARM.D.
• Isabel Nguyen
• Jolinna Nguyen
• Kim Nguyen
• Paulina Nguyen, PHARMACIST
• Susan Nguyen
• Tommy Nguyen
• Tonhu Nguyen, PHARMD
• Abigail Marie Nichols

• Dentist in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.