Active NPI
Richard D Nguyen, MD
- Family Medicine Physician
- Tampa, FL
National Provider Identifier
1942235528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME105937
- Practice address
- 8715 Henderson Rd
Ren 4, #237
Tampa, FL 33634-1143 - Phone
- (813) 206-7515
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A85614 | CA | |
| Family Medicine Physician | 207Q00000X | ME105937 | FL | Primary |
Addresses
Primary practice location
8715 Henderson Rd
Ren 4, #237
Tampa, FL 33634-1143
Mailing address
8715 Henderson Rd
Ren 4, #237
Tampa, FL 33634-1143
Phone (813) 206-7515
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC70477F | Medicaid | CA | |
| 1942235528 | Other | CA | COMMHLTHCNTRS, SANTA MARIA NPI# |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A85614 | CA | MD | Family Medicine Physician |
| ME105937 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374192000000",
"number": "1942235528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8715 HENDERSON RD",
"address_2": "REN 4, #237",
"city": "TAMPA",
"state": "FL",
"postal_code": "336341143",
"telephone_number": "813-206-7515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8715 HENDERSON RD",
"address_2": "REN 4, #237",
"city": "TAMPA",
"state": "FL",
"postal_code": "336341143",
"telephone_number": "813-206-7515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "RICHARD",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2013-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A85614",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME105937",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC70477F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMHLTHCNTRS, SANTA MARIA NPI#",
"identifier": "1942235528",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.