Active NPI
Thy Khanh Nguyen, D.C.
- Chiropractor
- Rialto, CA
National Provider Identifier
1982921581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC31317
- Practice address
- 1613 S Riverside Ave
Suite D
Rialto, CA 92376-7701 - Phone
- (909) 820-2220
- Fax
- (909) 820-2224
- NPI assigned
- Apr 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC31317 | CA | Primary |
Addresses
Primary practice location
1613 S Riverside Ave
Suite D
Rialto, CA 92376-7701
Mailing address
1613 S Riverside Ave
Suite D
Rialto, CA 92376-7701
Phone (909) 820-2220
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC31317 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Care Chiropractic Center | Chiropractor | 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.
-
- Chiropractor
- Rialto, CA
- NPI 1851783682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363651200000",
"number": "1982921581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 S RIVERSIDE AVE",
"address_2": "SUITE D",
"city": "RIALTO",
"state": "CA",
"postal_code": "923767701",
"telephone_number": "909-820-2220",
"fax_number": "909-820-2224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 S RIVERSIDE AVE",
"address_2": "SUITE D",
"city": "RIALTO",
"state": "CA",
"postal_code": "923767701",
"telephone_number": "909-820-2220",
"fax_number": "909-820-2224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THY",
"middle_name": "KHANH",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-23",
"last_updated": "2013-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC31317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.