Quan H. Nguyen M D a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

G071956 Issued in CA

Legal business name

QUAN H. NGUYEN M D A PROFESSIONAL CORPORATION

Doing business as

Q-Dermatology

Practice address

10175 Slater Ave Ste 100
Fountain Valley, CA 92708-4702

Phone

(714) 979-9911

Fax

(714) 979-9912

NPI assigned

Nov 29, 2011

Last updated

Jun 20, 2025By 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

Pauline Tang

Title

MGR

Phone

(714) 979-9111

Specialties & licenses 1

Addresses

Other names 1

• Q-Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 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.

• Quan Hoang Nguyen, M.D.

  • Specialist
  • Fountain Valley, CA
  • NPI 1760402770
  Medicare reassignment

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1841567351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 SLATER AVE STE 100",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084702",
            "telephone_number": "714-979-9911",
            "fax_number": "714-979-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 SLATER AVE STE 100",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084702",
            "telephone_number": "714-979-9911",
            "fax_number": "714-979-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAN H. NGUYEN M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "714-979-9111"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G071956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Q-Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine Putnam
• Peter Pyrko, M.D., PH.D.
• Zumna Mariam Qazi
• Kenny Au Quach, DPM
• Quality Health Providers
• Quang Ngo DDS Inc
• Ashley Abigail Quevedo Ti
• Sadia Quidwai, PA-C
• Wing Chon Quon, M.D.
• Quy V. Le, MD Inc.

• Specialist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.