Jessica Duong Nguyen, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

100592 Issued in CA

Practice address

3767 Avocado Blvd
La Mesa, CA 91941-7301

Phone

(619) 729-2323

NPI assigned

Aug 30, 2016

Sex

Female

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

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Cheryl Tran DDS Inc.

  • General Practice Dentistry
  • La Mesa, CA
  • NPI 1396128658
  NPD (past)

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1831645894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 DOGWOOD DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486705",
            "telephone_number": "520-275-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3767 AVOCADO BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919417301",
            "telephone_number": "619-729-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JESSICA",
        "middle_name": "DUONG",
        "name_prefix": "Ms.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryant H Nguyen, MD
• Dat William Nguyen, MD
• Dung Hao Nguyen, PHARM.D.
• Dustin Trong Nguyen, PHARM.D.
• Jennifer T Nguyen, DDS
• Kimberly Nguyen, M.D.
• Patricia Tran Nguyen, DMD
• Steven Tu Nguyen, PT DPT
• The Quynh Catherine Nguyen, PHARM.D
• Truc Nguyen, PHARMD

• Dentist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.

Verify at the official NPI Registry.