Active NPI
Naomi-Trang Nguyen, D.D.S.
- Periodontics
- Chula Vista, CA
National Provider Identifier
1881976405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 57967
- Practice address
- 345 F St Ste 240
Chula Vista, CA 91910-2634 - Phone
- (310) 689-9703
- NPI assigned
- Sep 10, 2011
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 57967 | CA | Primary |
Addresses
Primary practice location
345 F St Ste 240
Chula Vista, CA 91910-2634
Mailing address
5781 Lancashire Ave
Westminster, CA 92683-3530
Phone (310) 689-9703
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200208000197 | CA | Order and Referring Only - Dentist | 9638505704 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315872000000",
"number": "1881976405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5781 LANCASHIRE AVE",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926833530",
"telephone_number": "310-689-9703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 F ST STE 240",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919102634",
"telephone_number": "310-689-9703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "NAOMI-TRANG",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-10",
"last_updated": "2011-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "57967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.