Active NPI
Jason Son Ngoc Nguyen, DDS
- General Practice Dentistry
- Orange, CA
National Provider Identifier
1891908521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 48970
- Practice address
- 262 S Glassell St
Orange, CA 92866-1918 - Phone
- (714) 630-4589
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 48970 | CA | |
| General Practice Dentistry | 1223G0001X | 48970 | CA | Primary |
Addresses
Primary practice location
262 S Glassell St
Orange, CA 92866-1918
Mailing address
262 S Glassell St
Orange, CA 92866-1918
Phone (714) 202-5389
Other names 1
- Dr. Son Nguyen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48970 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1891908521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 S GLASSELL ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928661918",
"telephone_number": "714-202-5389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 S GLASSELL ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928661918",
"telephone_number": "714-630-4589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JASON SON",
"middle_name": "NGOC",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "48970",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "48970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SON",
"last_name": "NGUYEN",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.