Active NPI
Xuan Nguyet Nguyen, M.D.
- Family Medicine Physician
- Rancho Cucamonga, CA
National Provider Identifier
1871539551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A88148
- Practice address
- 10431 Lemon Ave
Unit N
Rancho Cucamonga, CA 91737-3700 - Phone
- (909) 466-6579
- Fax
- (909) 796-4158
- NPI assigned
- Jun 21, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A88148 | CA | Primary |
Addresses
Primary practice location
10431 Lemon Ave
Unit N
Rancho Cucamonga, CA 91737-3700
Mailing address
PO Box 12089
San Bernardino, CA 92423-2089
Phone (909) 793-3311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A881480 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A88148 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871539551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12089",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924232089",
"telephone_number": "909-793-3311",
"fax_number": "909-796-4158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10431 LEMON AVE",
"address_2": "UNIT N",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917373700",
"telephone_number": "909-466-6579",
"fax_number": "909-796-4158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "XUAN NGUYET",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A88148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A881480",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.