Individual provider Active NPI

Dat Manh Nguyen, M.D.

  • Internal Medicine Physician
  • Westminster, CA
National Provider Identifier
1871730895
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A36056 Issued in CA
Practice address
14536 Brookhurst St
Suite# 102
Westminster, CA 92683-5787
Phone
(714) 531-2548
NPI assigned
Jan 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A36056 CA Primary

Addresses

Primary practice location

14536 Brookhurst St
Suite# 102
Westminster, CA 92683-5787

Mailing address

14536 Brookhurst St
Suite# 102
Westminster, CA 92683-5787
Phone (714) 531-2548

Other identifiers 1

IdentifierTypeStateIssuer
00A360562MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090502000042 CA Practitioner - Internal Medicine 7517015480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14536 Brookhurst St
Westminster, CA 92683-5788
Phone (714) 531-2548

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A36056CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dat Manh Nguyen M D a Professional Corporation CurrentSince Jan 13, 2000 Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

14536 Brookhurst St
Ste 102
Westminster, CA 92683
Phone (714) 531-2548

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1871730895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14536 BROOKHURST ST",
            "address_2": "SUITE# 102",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835787",
            "telephone_number": "714-531-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14536 BROOKHURST ST",
            "address_2": "SUITE# 102",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835787",
            "telephone_number": "714-531-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DAT",
        "middle_name": "MANH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A36056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A360562",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.