Jimmy Khanh Nguyen

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

26081 Issued in CA

Practice address

6103 Nauru St
Cypress, CA 90630-5646

Phone

(310) 897-9686

NPI assigned

Oct 8, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Jimmy Khanh Nguyen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1972078764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6103 NAURU ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305646",
            "telephone_number": "310-897-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6103 NAURU ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305646",
            "telephone_number": "310-897-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JIMMY",
        "middle_name": "KHANH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "26081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIMMY",
            "last_name": "NGUYEN",
            "middle_name": "KHANH",
            "prefix": "MR.",
            "credential": "RPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Karen NG, PHARMD
• Tracey Ngo, PHARMD
• Alan Nguyen, PHARMD
• An Vo Hong Nguyen, RPH
• Hannah T Nguyen, SLPA
• Kathy Nguyen
• Khoa Nguyen
• Mindy Myy Nguyen, PHARMD
• Minh Chau Vu Nguyen, PHARM.D.
• Thuy Minh Nguyen

• Physical Medicine & Rehabilitation Physician in Cypress, CA
• Providers in Cypress, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.