Individual provider Active NPI

Davis Nguyen, D.C

  • Chiropractor
  • Alameda, CA
National Provider Identifier
1982158838
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33663 Issued in CA
Practice address
2504 Santa Clara Ave
1-2
Alameda, CA 94501-3070
Phone
(415) 623-9258
Fax
(510) 426-8255
NPI assigned
Aug 9, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33663 CA Primary

Addresses

Primary practice location

2504 Santa Clara Ave
1-2
Alameda, CA 94501-3070

Mailing address

2504 Santa Clara Ave Ste 1-2
Alameda, CA 94501-3070
Phone (415) 623-9258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nguyen Spine and Sport Chiropractic Chiropractor CurrentSince Dec 21, 2021 Accepting new patients

Locations

2504 Santa Clara Ave
Ste 12
Alameda, CA 94501
Phone (415) 623-9258

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": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1982158838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 SANTA CLARA AVE STE 1-2",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013070",
            "telephone_number": "415-623-9258",
            "fax_number": "510-426-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 SANTA CLARA AVE",
            "address_2": "1-2",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013070",
            "telephone_number": "415-623-9258",
            "fax_number": "510-426-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DAVIS",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-09",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.