Individual provider Active NPI

Thong Huu Nguyen, D.C.

  • Chiropractor
  • Stockton, CA
National Provider Identifier
1831426923
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC31436 Issued in CA
Practice address
3322 E Hammer LN
Suite I
Stockton, CA 95212-3843
Phone
(209) 957-8808
Fax
(209) 957-8805
NPI assigned
Nov 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC31436 CA Primary

Addresses

Primary practice location

3322 E Hammer LN
Suite I
Stockton, CA 95212-3843

Mailing address

3322 E Hammer LN
Suite I
Stockton, CA 95212-3843
Phone (209) 957-8808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091202000609 CA Practitioner - Chiropractic 2860531936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3322 E Hammer Lane
Suite I
Stockton, CA 95212-3843

3322 E Hammer LN
Suite I
Stockton, CA 95212-3843
Phone (209) 957-8808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31436CAMDClinical Psychologist
DC31436CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rejuvaspine Chiropractic Chiropractor CurrentSince Oct 2, 2009 Accepting new patients

Locations

3322 E Hammer Ln
Ste I
Stockton, CA 95212
Phone (209) 957-8808

3322 E Hammer Ln
Ste 1
Stockton, CA 95212
Phone (209) 957-8808

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1831426923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 E HAMMER LN",
            "address_2": "SUITE I",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952123843",
            "telephone_number": "209-957-8808",
            "fax_number": "209-957-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 E HAMMER LN",
            "address_2": "SUITE I",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952123843",
            "telephone_number": "209-957-8808",
            "fax_number": "209-957-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THONG",
        "middle_name": "HUU",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.