Active NPI
Minh Van Nguyen, MD
- General Practice Physician
- Seattle, WA
National Provider Identifier
1962494070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD00020746
- Practice address
- 9431 17TH Ave SW
Seattle, WA 98106-2710 - Phone
- (206) 763-9621
- Fax
- (206) 767-6028
- NPI assigned
- Aug 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD00020746 | WA | Primary |
Addresses
Primary practice location
9431 17TH Ave SW
Seattle, WA 98106-2710
Mailing address
9431 17TH Ave SW
Seattle, WA 98106-2710
Phone (206) 763-9621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1004548 | Medicaid | WA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195171200000",
"number": "1962494070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9431 17TH AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981062710",
"telephone_number": "206-763-9621",
"fax_number": "206-767-6028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9431 17TH AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981062710",
"telephone_number": "206-763-9621",
"fax_number": "206-767-6028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MINH",
"middle_name": "VAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2007-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WA",
"license": "MD00020746",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1004548",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.