Phuong Nguyen MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G76446 Issued in CA

Legal business name

PHUONG NGUYEN MD PC

Practice address

351 Hospital Road
Suite 209
Newport Beach, CA 92663-3504

Phone

(949) 764-5760

Fax

(949) 764-5607

NPI assigned

Jul 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Phuong T Nguyen, M.D.

Title

Ceo

Phone

(949) 764-5760

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881608149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL ROAD",
            "address_2": "SUITE 209",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633504",
            "telephone_number": "949-764-5760",
            "fax_number": "949-764-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL ROAD",
            "address_2": "SUITE 209",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633504",
            "telephone_number": "949-764-5760",
            "fax_number": "949-764-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHUONG NGUYEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PHUONG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-764-5760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G76446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.

Verify at the official NPI Registry.