Organization Active NPI

Minhthao Thi Nguyen DO Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Westminster, CA
National Provider Identifier
1962280438
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
MINHTHAO THI NGUYEN DO INC
Practice address
10301 Bolsa Ave Ste 103
Westminster, CA 92683-6784
Phone
(657) 606-1484
Fax
(657) 600-6648
NPI assigned
Sep 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

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

Authorized official

Name
Minhthao Thi Nguyen, DONPI 1013408343
Title
Endocrinology
Phone
(714) 274-5580

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
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

10301 Bolsa Ave Ste 103
Westminster, CA 92683-6784

Mailing address

10301 Bolsa Ave Ste 103
Westminster, CA 92683-6784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231113000584 CA Part B Supplier - Clinic/Group Practice 4284081316 Receives reassigned benefits from 1 practitioner
Practice locations: Westminster, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2297219Minhthao Thi Nguyen DO Inc10301 Bolsa Ave Ste 103, Westminster, CA 92683Certificate of waiverJan 10, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713571200000",
    "number": "1962280438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 BOLSA AVE STE 103",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 BOLSA AVE STE 103",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836784",
            "telephone_number": "657-606-1484",
            "fax_number": "657-600-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINHTHAO THI NGUYEN DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MINHTHAO",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "ENDOCRINOLOGY",
        "authorized_official_telephone_number": "714-274-5580",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.