Individual provider Active NPI

Tri Chanh Nguyen, M.S.

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1972720969
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
81042 Issued in CA
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

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
81042CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.