Charles Edward Nguyen

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC26110 Issued in CA

Practice address

1424 Madera Rd
Simi Valley, CA 93065-3053

Phone

(805) 522-5722

Fax

(805) 915-4141

NPI assigned

May 7, 2007

Last updated

Jun 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sherman Oaks Integrated Medical Group, Inc.Group PAC ID 8729368659, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sherman Oaks Integrated Medical Group, Inc.

  dba Health Atlast Sherman Oaks

  • Physical Medicine & Rehabilitation Physician
  • Sherman Oaks, CA
  • NPI 1588028625
  Medicare reassignment Care Compare group NPD
• Clinicas del Camino Real Inc

  dba Clinicas del Camino Real, Inc., Ventura

  • Federally Qualified Health Center (FQHC)
  • Ventura, CA
  • NPI 1679631907
  Medicare reassignment NPD
• Clinicas del Camino Real Inc

  dba Clinicas del Camino Real Inc Roberto S Juarez

  • Community Health Clinic/Center
  • Oxnard, CA
  • NPI 1235866138
  NPD
• Salida del Sol Family Health Medical Center

  • General Practice Physician
  • Oxnard, CA
  • NPI 1629241203
  NPD (past)
• Salida del Sol Family Health Medical Center, Inc.

  • Health Service Clinic/Center
  • Oxnard, CA
  • NPI 1487965760
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1972716942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 FLYNN RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125092",
            "telephone_number": "805-673-3930",
            "fax_number": "805-659-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 MADERA RD",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653053",
            "telephone_number": "805-522-5722",
            "fax_number": "805-915-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC26110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siobhan Newman, MD
• Shameka Newson, RN
• Mary Rene Newton, RDHAP, BS
• Nexa Behavioral Health Inc
• Thanhthao Nguyen Tran, DMD
• Christina Tochau Nguyen
• Diem P Nguyen, RDN
• Dominique Thuy Nguyen, R.T. (R)(M) ARRT
• Jonathan Nguyen, PHARMD
• Khang T. Nguyen, D.M.D.

• Chiropractor in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.