Active NPI
Thomas Nguyen, DDS
- Dentist
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 107781
- Practice address
- 4371 Latham St
Riverside, CA 92501-1706 - Phone
- (833) 867-4642
- Fax
- (360) 462-2757
- NPI assigned
- Aug 13, 2022
- Last updated
- Apr 30, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 107781 | CA | Primary |
Addresses
Primary practice location
4371 Latham St
Riverside, CA 92501-1706
Mailing address
2084 Wild Woods
Upland, CA 91786-8469
Phone (714) 725-5281
Other practice location 1
6000 N Figueroa St
Los Angeles, CA 90042-4232
Phone (866) 616-9344
Other practice location 2
1450 E Holt Ave
Pomona, CA 91767-5822
Phone (909) 469-9016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107781 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arroyo Vista Family Health Foundation | Current | Accepting new patients | |
| Arroyo Vista Family Health Foundation | Current | Accepting new patients |
Locations
2411 N Broadway
Los Angeles, CA 90031
Phone (323) 254-5291
6000 N Figueroa St
Los Angeles, CA 90042
Phone (323) 254-5221
Interoperability endpoints
- thomas.nguyen.p1@direct.arroyovista.nextgenshare.com
- thomas.nguyen.p3@direct.parktreechc.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Arroyo Vista Family Health Center
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1447353701
-
dba Arroyo Vista Family Health Center
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1316088479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1821726126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2084 WILD WOODS",
"city": "UPLAND",
"state": "CA",
"postal_code": "917868469",
"telephone_number": "714-725-5281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4371 LATHAM ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925011706",
"telephone_number": "833-867-4642",
"fax_number": "360-462-2757"
}
],
"practiceLocations": [
{
"address_1": "6000 N Figueroa St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900424232",
"country_code": "US",
"telephone_number": "866-616-9344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1450 E Holt Ave",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917675822",
"country_code": "US",
"telephone_number": "909-469-9016",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "THOMAS",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-13",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "107781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.