Individual provider Active NPI

Thang Phuoc Nguyen, M.D.

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1992729933
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A66089 Issued in CA
Practice address
1271 S Union Ave
Los Angeles, CA 90015-2043
Phone
(213) 386-0214
Fax
(213) 386-0215
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A66089 CA
General Practice Physician 208D00000X A66089 CA Primary

Addresses

Primary practice location

1271 S Union Ave
Los Angeles, CA 90015-2043

Mailing address

1271 S Union Ave
Los Angeles, CA 90015-2043
Phone (213) 386-0214

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
I20111130000329 CA Practitioner - General PracticePractitioner - Physical Medicine and Rehabilitation 1850322751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Physical Medicine and Rehabilitation
Education
Hahnemann University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1271 S Union Ave
Los Angeles, CA 90015-2043
Phone (213) 386-0214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A66089CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahmc Garfield Medical Center LP PastSince Aug 11, 2000 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1992729933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 S UNION AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152043",
            "telephone_number": "213-386-0214",
            "fax_number": "213-386-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 S UNION AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152043",
            "telephone_number": "213-386-0214",
            "fax_number": "213-386-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THANG",
        "middle_name": "PHUOC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A66089",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A66089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.