Duc C Nguyen MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G76681 Issued in CA

Legal business name

DUC C NGUYEN MD INC

Practice address

1546 N Tracy Blvd
Tracy, CA 95376-2903

Phone

(209) 833-3320

Fax

(209) 835-5929

NPI assigned

Aug 28, 2017

Last updated

Feb 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Duc C Nguyen, MDNPI 1356315410

Title

MD/Owner

Phone

(209) 914-0481

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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.

• Duc C Nguyen, MD

  • Surgery Physician
  • Tracy, CA
  • NPI 1356315410
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1891212114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762903",
            "telephone_number": "209-833-3320",
            "fax_number": "209-835-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762903",
            "telephone_number": "209-833-3320",
            "fax_number": "209-835-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUC C NGUYEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DUC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "209-914-0481",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G76681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891212114",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Michael V. Cubie,PH.D. (none)
• Dr. Speed, Inc.
• Sanaa Dredar, PHARM.D.
• Daniel Stephen Drewniak, PHARM.D.
• Heather Arauz Drumgoole
• Heather A M Duckworth
• Duke University Hospital
• Cynthia L. Dulay, MD
• Malynda Duncan
• Melanie Aquino Dunniway, OTR

• Surgery Physician in Tracy, CA
• Providers in Tracy, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.