Active NPI
Tri Chanh Nguyen, M.S.
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1972720969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 81042
- Practice address
- 5500 Campanile Dr
San Diego, CA 92182-1756 - Phone
- (619) 594-5220
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 81042 | CA | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
5500 Campanile Dr
San Diego, CA 92182-1756
Mailing address
2727 Camino del Rio S Ste 244
San Diego, CA 92108-3766
Phone (442) 777-3552
Other practice location 1
2727 Camino Del Rio S Ste 244
San Diego, CA 92108-3766
Phone (442) 777-3552
Other practice location 2
1004 Commercial Ave # 2013
Anacortes, WA 98221-4117
Phone (442) 777-3552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Mar 23, 2026 through Mar 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81042 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Research Foundation Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1730202235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1972720969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 CAMINO DEL RIO S STE 244",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083766",
"telephone_number": "442-777-3552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 CAMPANILE DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921821756",
"telephone_number": "619-594-5220"
}
],
"practiceLocations": [
{
"address_1": "2727 Camino Del Rio S Ste 244",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921083766",
"country_code": "US",
"telephone_number": "442-777-3552",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1004 Commercial Ave # 2013",
"address_purpose": "LOCATION",
"city": "Anacortes",
"state": "WA",
"postal_code": "982214117",
"country_code": "US",
"telephone_number": "442-777-3552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "TRI",
"middle_name": "CHANH",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "81042",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.