Active NPI
Tien Viet Nguyen, MD
- Dermatology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD60829829
- Practice address
- 1101 Madison St Ste 301
Seattle, WA 98104-3599 - Phone
- (206) 505-1300
- NPI assigned
- Sep 25, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD60829829 | WA | Primary |
Addresses
Primary practice location
1101 Madison St Ste 301
Seattle, WA 98104-3599
Mailing address
1101 Madison St Ste 301
Seattle, WA 98104-3599
Phone (206) 505-1300
Other practice location 1
1810 116th Ave NE Ste 100
Bellevue, WA 98004-3043
Phone (510) 332-4783
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacmed Clinics | Current | Accepting new patients | |
| Pacmed Clinics | Current | Accepting new patients | |
| Clive M Liu MD PLLC | Dermatology | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Pacmed Clinics | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Tono Medical Services P.C. | Dermatology | Past | Accepting new patients |
| Tono Medical Services PC | Dermatology | Past | Accepting new patients |
Locations
6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000
393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914
1810 116th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 455-2275
220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400
601 S Carr Rd
Ste 100
Renton, WA 98055
Phone (425) 227-3700
10416 5th Ave NE
Seattle, WA 98125
Phone (206) 517-6667
1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101
Organizations & group practices 9
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.
-
- Dermatology Physician
- Bellevue, WA
- NPI 1598092751
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1720023641
-
- Multi-Specialty Clinic/Center
- Puyallup, WA
- NPI 1841550530
-
- Health Maintenance Organization
- Los Angeles, CA
- NPI 1043242563
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Dermatology Physician
- Brooklyn, NY
- NPI 1518612811
-
- Dermatology Physician
- San Diego, CA
- NPI 1477244671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1841626546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MADISON ST STE 301",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043599",
"telephone_number": "206-505-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MADISON ST STE 301",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043599",
"telephone_number": "206-505-1300"
}
],
"practiceLocations": [
{
"address_1": "1810 116th Ave NE Ste 100",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980043043",
"country_code": "US",
"telephone_number": "510-332-4783",
"fax_number": "425-455-1511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "TIEN",
"middle_name": "VIET",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-25",
"last_updated": "2023-03-27",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WA",
"license": "MD60829829",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "6041 Cadillac Ave",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900341702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.