SD Medical Clinic Inc, a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SD MEDICAL CLINIC INC, A PROFESSIONAL CORPORATION

Practice address

1105 S State St
Hemet, CA 92543-7635

Phone

(951) 929-6000

Fax

(951) 929-6008

NPI assigned

Aug 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan T Nguyen, M.D.NPI 1023193125

Title

President

Phone

(951) 929-6000

Specialties & licenses 1

Addresses

Locations

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.

• Jonathan Tuan Nguyen

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1023193125
  NPD (past) Authorized official

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249862400000",
    "number": "1902038987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 S STATE ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925437635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 S STATE ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925437635",
            "telephone_number": "951-929-6000",
            "fax_number": "951-929-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD MEDICAL CLINIC INC, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-10",
        "last_updated": "2009-08-10",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-929-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley D Schinke, M.D.
• Madisyn Rae Schofield
• Gary Francis Schroeder, CADCC
• Alyssa Schultz
• Christine Rae Score, CPM, LM
• Caroline Margaret Seedorf, CLINICAL REHAB CRED
• Julieta A Segales
• Kishore Sehgal, M.D.
• Mohamed Seleit, D.D.S.
• Magdolna N Sempson, RN

• Internal Medicine Physician in Hemet, CA
• Providers in Hemet, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; 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.