NPIMap

Organization Active NPI

George K Nguyen DDS, PC

Doing business as Sycamore Creek Dental

  • Dentist
  • Corona, CA
National Provider Identifier
1922233428
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50657 Issued in CA
Legal business name
GEORGE K NGUYEN DDS, PC
Doing business as
Sycamore Creek Dental
Practice address
11882 De Palma Rd # 2E
Corona, CA 92883-4008
Phone
(951) 277-7678
Fax
(951) 277-7679
NPI assigned
May 28, 2009
Last updated
May 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Authorized official

Name
Dr. George K Nguyen, DDSNPI 1336297654
Title
President
Phone
(951) 277-7678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 50657 CA Primary

Addresses

Primary practice location

11882 De Palma Rd # 2E
Corona, CA 92883-4008

Mailing address

11882 De Palma Rd # 2E
Corona, CA 92883-4008
Phone (951) 277-7678

Other names 1

  • Sycamore Creek Dental Doing business as

National Provider Directory

National Provider Directory

Locations

11882 De Palma Rd
#2E
Corona, CA 92883
Phone (951) 277-7678

11882 De Palma Rd
Ste 2E
Corona, CA 92883
Phone (951) 277-7678

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1922233428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11882 DE PALMA RD # 2E",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928834008",
            "telephone_number": "951-277-7678",
            "fax_number": "951-277-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11882 DE PALMA RD # 2E",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928834008",
            "telephone_number": "951-277-7678",
            "fax_number": "951-277-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE K NGUYEN DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-277-7678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sycamore Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.