Individual provider Active NPI

Ly Hai Nguyen

  • Non-emergency Medical Transport (VAN)
  • Elk Grove, CA
National Provider Identifier
1912204801
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
11-00105968 Issued in CA
Practice address
8281 Wooded Brook Dr
Elk Grove, CA 95758-8022
Phone
(916) 687-1171
Fax
(866) 571-3818
NPI assigned
Feb 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 11-00105968 CA Primary
Non-emergency Medical Transport (VAN) 343900000X 12-00010225 CA

Addresses

Primary practice location

8281 Wooded Brook Dr
Elk Grove, CA 95758-8022

Mailing address

8281 Wooded Brook Dr
Elk Grove, CA 95758-8022
Phone (916) 687-1171

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

LicenseStateTypeSpecialty
11-00105968CAMDNon-emergency Medical Transport (VAN)
12-00010225CAMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1912204801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8281 WOODED BROOK DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588022",
            "telephone_number": "916-687-1171",
            "fax_number": "866-571-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8281 WOODED BROOK DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588022",
            "telephone_number": "916-687-1171",
            "fax_number": "866-571-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LY",
        "middle_name": "HAI",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "11-00105968",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "12-00010225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.