Individual provider Active NPI

Tan Quoc Nguyen, MD

  • Family Medicine Physician
  • Anaheim, CA
National Provider Identifier
1942468525
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A103725 Issued in CA
Practice address
2441 W la Palma Ave Ste 100
Anaheim, CA 92801-2658
Phone
(657) 282-6356
NPI assigned
May 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A103725 CA Primary

Addresses

Primary practice location

2441 W la Palma Ave Ste 100
Anaheim, CA 92801-2658

Mailing address

200 S Manchester Ave Ste 300
Orange, CA 92868-3219
Phone (714) 456-2986

Other practice location 1

800 N Main St
Santa Ana, CA 92701-3576
Phone (714) 456-7002

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091008000435 CA Practitioner - Family Practice 3476699281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of California IrvineGroup PAC ID 5395658181, 57 clinicians

Practice addresses (Care Compare)

2441 W la Palma Ave
Anaheim, CA 92801-2658
Phone (657) 282-6356

800 N Main St
Santa Ana, CA 92701-3576
Phone (714) 456-6324

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A103725CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California Irvine Current Accepting new patients
University of California Irvine CurrentSince Feb 10, 2017 Accepting new patients
UC Irvine Health Cancer Center, Newport Pacific Medical Center CurrentSince Feb 10, 2017 Accepting new patients
Regents of the University of Family Medicine CurrentSince Aug 15, 2009 Accepting new patients
University of California Irvine Past Accepting new patients
University of California Irvine Past Accepting new patients
Uci Department of Urology Past Accepting new patients

Locations

2441 W La Palma Ave
Ste 100
Anaheim, CA 92801
Phone (657) 282-6356

300 W Carl Karcher Way
Anaheim, CA 92801
Phone (657) 282-6356

200 S Manchester Ave
Ste 300
Orange, CA 92868
Phone (714) 424-9001

200 S Manchester Ave
Ste 512
Orange, CA 92868

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

800 N Main St
Ste 100
Santa Ana, CA 92701

800 N Main St
Santa Ana, CA 92701
Phone (714) 456-6324

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1942468525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MANCHESTER AVE STE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683219",
            "telephone_number": "714-456-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 W LA PALMA AVE STE 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012658",
            "telephone_number": "657-282-6356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 N Main St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927013576",
            "country_code": "US",
            "telephone_number": "714-456-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TAN",
        "middle_name": "QUOC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A103725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.