Active NPI
Linh P Nguyen, D.C.
- Chiropractor
- San Lorenzo, CA
National Provider Identifier
1871686568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 24911
- Practice address
- 15817 Channel Street
San Lorenzo, CA 94580 - Phone
- (510) 278-0279
- Fax
- (510) 278-0379
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 24911 | CA | Primary |
Addresses
Primary practice location
15817 Channel Street
San Lorenzo, CA 94580
Mailing address
15817 Channel Street
San Lorenzo, CA 94580
Phone (510) 278-0279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090715000524 | CA | Practitioner - Chiropractic | 1557413911 | Practice locations: San Lorenzo, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15817 Channel St
San Lorenzo, CA 94580-1441
Phone (510) 278-0279
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24911 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871686568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15817 CHANNEL STREET",
"city": "SAN LORENZO",
"state": "CA",
"postal_code": "94580",
"telephone_number": "510-278-0279",
"fax_number": "510-278-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15817 CHANNEL STREET",
"city": "SAN LORENZO",
"state": "CA",
"postal_code": "94580",
"telephone_number": "510-278-0279",
"fax_number": "510-278-0379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LINH",
"middle_name": "P",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "24911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Lorenzo, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.