Organization Active NPI

Henny Nguyen D.P.M., Inc.

  • Podiatrist
  • Garden Grove, CA
National Provider Identifier
1972786747
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
HENNY NGUYEN D.P.M., INC.
Practice address
14360 Brookhurst St
Garden Grove, CA 92843-4608
Phone
(714) 531-9682
Fax
(714) 531-9686
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Authorized official

Name
Henny Nguyen, D.P.M.
Title
President
Phone
(714) 531-9682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

14360 Brookhurst St
Garden Grove, CA 92843-4608

Mailing address

14360 Brookhurst St
Garden Grove, CA 92843-4608
Phone (714) 531-9682

Other identifiers 1

IdentifierTypeStateIssuer
5544238MedicaidCA

National Provider Directory

National Provider Directory

Locations

14360 Brookhurst St
Garden Grove, CA 92843
Phone (714) 333-8312

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1972786747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14360 BROOKHURST ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434608",
            "telephone_number": "714-531-9682",
            "fax_number": "714-531-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14360 BROOKHURST ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434608",
            "telephone_number": "714-531-9682",
            "fax_number": "714-531-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENNY NGUYEN D.P.M., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-531-9682",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5544238",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.