Anh Tai Nguyen,MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

176263-1205 Issued in UT

Legal business name

ANH TAI NGUYEN,MD

Practice address

1819 W 3500 S Ste 1C
West Valley City, UT 84119-3457

Phone

(801) 975-9707

NPI assigned

Jun 27, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anh Tai Nguyen, M.D.NPI 1699764407

Title

President

Phone

(801) 975-9707

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anh Tai Nguyen, MD

  • Family Medicine Physician
  • West Valley City, UT
  • NPI 1699764407
  Authorized official Same address or phone

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841497559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 W 3500 S STE 1C",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193457",
            "telephone_number": "801-975-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 W 3500 S STE 1C",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193457",
            "telephone_number": "801-975-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANH TAI NGUYEN,MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANH",
        "authorized_official_middle_name": "TAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-975-9707",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "176263-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "586162546-008",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.