Active NPI
Daniela Nguyen, DO
- Family Medicine Physician
- Fort Lauderdale, FL
National Provider Identifier
1891069662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- UO3537
- Practice address
- 401 E Las Olas Blvd Ste 130-304
Fort Lauderdale, FL 33301-2210 - Phone
- (954) 694-7222
- Fax
- (760) 993-4800
- NPI assigned
- Feb 26, 2012
- Last updated
- Oct 26, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A21066 | CA | |
| Family Medicine Physician | 207Q00000X | U7022 | TX | |
| Family Medicine Physician | 207Q00000X | UO3537 | FL | Primary |
Addresses
Primary practice location
401 E Las Olas Blvd Ste 130-304
Fort Lauderdale, FL 33301-2210
Mailing address
401 E Las Olas Blvd Ste 130-304
Fort Lauderdale, FL 33301-2210
Phone (215) 873-6164
Other practice location 1
1000 Vale Terrace Dr
Vista, CA 92084-5218
Phone (760) 631-5000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240130000617 | CA | Order and Referring Only - Family Practice | 8921387333 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vista Community Clinic
Practice addresses (Care Compare)
1000 Vale Terrace Dr
Vista, CA 92084-5218
Phone (760) 631-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21066 | CA | MD | Professional Counselor |
| 20A21066 | CA | MD | Family Medicine Physician |
| UO3537 | FL | MD | Family Medicine Physician |
| U7022 | TX | MD | Family Medicine Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- daniela.nguyendo.p1@direct.vistacommunityclinic.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792972800000",
"number": "1891069662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E LAS OLAS BLVD STE 130-304",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333012210",
"telephone_number": "215-873-6164",
"fax_number": "760-993-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E LAS OLAS BLVD STE 130-304",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333012210",
"telephone_number": "954-694-7222",
"fax_number": "760-993-4800"
}
],
"practiceLocations": [
{
"address_1": "1000 Vale Terrace Dr",
"address_purpose": "LOCATION",
"city": "Vista",
"state": "CA",
"postal_code": "920845218",
"country_code": "US",
"telephone_number": "760-631-5000",
"fax_number": "760-414-3885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "DANIELA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-26",
"last_updated": "2026-10-26",
"certification_date": "2026-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A21066",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "U7022",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "UO3537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2026; 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.
- 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.