Active NPI
Tao Trung Nguyen M.D., Inc
- Pediatrics Physician
- Maywood, CA
National Provider Identifier
1861587073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 00A444561
- Legal business name
- TAO TRUNG NGUYEN M.D., INC
- Practice address
- 6043 Atlantic Blvd.
Maywood, CA 90270-3118 - Phone
- (323) 583-6516
- Fax
- (323) 583-0802
- NPI assigned
- Oct 4, 2006
- Last updated
- May 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tao Trung Nguyen, M.D
- Title
- President
- Phone
- (323) 583-6516
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 00A444561 | CA | Primary |
Addresses
Primary practice location
6043 Atlantic Blvd.
Maywood, CA 90270-3118
Mailing address
P.O. Box 3780
La Habra, CA 90632-3780
Phone (323) 583-6516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A444561 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
3100 E Florence Ave
Ste 9
Huntington Pk, CA 90255
Phone (323) 583-6516
Practitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590105600000",
"number": "1861587073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 3780",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906323780",
"telephone_number": "323-583-6516",
"fax_number": "323-583-0802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6043 ATLANTIC BLVD.",
"city": "MAYWOOD",
"state": "CA",
"postal_code": "902703118",
"telephone_number": "323-583-6516",
"fax_number": "323-583-0802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAO TRUNG NGUYEN M.D., INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "TAO",
"authorized_official_middle_name": "TRUNG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-583-6516",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "00A444561",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A444561",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maywood, CA
- Manuel Angel Savedra, D.D.S
- Mia Xin Shan
- Shane Medical Office a Professional Corporation (Maywood Urgent Care)
- Erick Solera, PTA
- Kevin Soohoo, PHARMD, LAC
- Heidi Tawadros, PA.C
- Terry D. Ahn DDS., Inc (Maywood Dental Care)
- The Medicine Cabinet Inc. (The Medicine Cabinet #6)
- Thrifty Payless Inc (Rite Aid Pharmacy 05479)
- Jose R. Torres, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.