Individual provider Active NPI

Vu Thanh Nguyen, M.D.

  • Family Medicine Physician
  • Garden Grove, CA
National Provider Identifier
1992032395
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A109436 Issued in CA
Practice address
12302 Garden Grove Blvd
Ste 27
Garden Grove, CA 92843-1834
Phone
(714) 530-2772
Fax
(714) 530-7424
NPI assigned
Nov 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A109436 CA Primary

Addresses

Primary practice location

12302 Garden Grove Blvd
Ste 27
Garden Grove, CA 92843-1834

Mailing address

12302 Garden Grove Blvd
Ste 27
Garden Grove, CA 92843-1834
Phone (714) 530-2772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110406000502 CA Practitioner - Family Practice 8325222953 Practice locations: Garden Grove, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12302 Garden Grove Blvd
Suite 27
Garden Grove, CA 92843-1834
Phone (714) 530-2772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A109436CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thuy Thanh Nguyen, MD, Inc. Family Medicine Current Accepting new patients
Riverside Medical Group PC Past Accepting new patients

Locations

12302 Garden Grove Blvd
Ste 27
Garden Grove, CA 92843
Phone (714) 530-2772

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: vu.nguyen.1@18770.direct.athenahealth.com

Organizations & group practices 2

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": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1992032395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12302 GARDEN GROVE BLVD",
            "address_2": "STE 27",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431834",
            "telephone_number": "714-530-2772",
            "fax_number": "714-530-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12302 GARDEN GROVE BLVD",
            "address_2": "STE 27",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431834",
            "telephone_number": "714-530-2772",
            "fax_number": "714-530-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VU",
        "middle_name": "THANH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-06",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A109436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.