Organization Active NPI

NN Medical, Inc.

  • Family Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1881264257
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NN MEDICAL, INC.
Practice address
6552 Bolsa Ave Ste a
Huntington Beach, CA 92647-2656
Phone
(714) 724-2889
NPI assigned
Jun 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Dr. Tu Anh Song Nguyen, MD
Title
Medical Director
Phone
(714) 724-2889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6552 Bolsa Ave Ste a
Huntington Beach, CA 92647-2656

Mailing address

6552 Bolsa Ave Ste a
Huntington Beach, CA 92647-2656
Phone (714) 724-2889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231207003689 CA Part B Supplier - Clinic/Group Practice 6305295924 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington Beach, CA

National Provider Directory

National Provider Directory

Locations

6552 Bolsa Ave
Ste A
Huntington Beach, CA 92647
Phone (714) 724-2889

12860 Beach Blvd
Ste G
Stanton, CA 90680
Phone (714) 724-2889

12680 BCH Blvd
Ste G
Stanton, CA 90680

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCHHDD

Practitioners & affiliated clinicians

Practitioners 3

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": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1881264257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6552 BOLSA AVE STE A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472656",
            "telephone_number": "714-724-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6552 BOLSA AVE STE A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472656",
            "telephone_number": "714-724-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NN MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TU ANH",
        "authorized_official_middle_name": "SONG",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-724-2889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.