Angel Nguyen

Primary specialty

DentistTaxonomy code 122300000X

License

110282 Issued in CA

Practice address

10910 Olson Dr Ste 100
Rancho Cordova, CA 95670-5663

Phone

(916) 638-3780

NPI assigned

Jul 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jeong Dental Corporation

  dba Rancho Cordova Dental Group

  • General Practice Dentistry
  • Rancho Cordova, CA
  • NPI 1508994922
  NPD (past)

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1922844075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8671 CULPEPPER DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958237616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10910 OLSON DR STE 100",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956705663",
            "telephone_number": "916-638-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANGEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ester Nersisyan
• Luv Newman, CMT
• Lauren Jane NG, PHARM.D.
• Emily Ngo, PHARM D.
• Ken H. Ngo, DDS
• Bill Nguyen, PHARMD.
• Dennis Huu-Luyen Nguyen, M.D.
• Katherine-Minh N. Nguyen, MD
• Kathy Nguyen
• Minh Nguyen, DO

• Dentist in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.

Verify at the official NPI Registry.