Active NPI
Amy Nguyen, DDS
- Pediatric Dentistry
- Downey, CA
National Provider Identifier
1912164435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 58131
- Practice address
- 7601 Imperial Hwy
Harriman BLDG #146
Downey, CA 90242-3456 - Phone
- (562) 401-7254
- NPI assigned
- May 21, 2008
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 58131 | CA | Primary |
Addresses
Primary practice location
7601 Imperial Hwy
Harriman BLDG #146
Downey, CA 90242-3456
Mailing address
7601 Imperial Hwy
Harriman Building, RM 146
Downey, CA 90242-3456
Phone (562) 401-7251
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 |
|---|---|---|---|---|
| I20231102001821 | CA | Order and Referring Only - Dentist | 2961858535 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58131 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320969600000",
"number": "1912164435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 IMPERIAL HWY",
"address_2": "HARRIMAN BUILDING, RM 146",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902423456",
"telephone_number": "562-401-7251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 IMPERIAL HWY",
"address_2": "HARRIMAN BLDG #146",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902423456",
"telephone_number": "562-401-7254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "AMY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2011-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "58131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.