Active NPI
Thom Tan Nguyen, L. AC.
- Acupuncturist
- Long Beach, CA
National Provider Identifier
1992828511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 4997
- Practice address
- 5324 E 2ND St
Long Beach, CA 90803-5332 - Phone
- (562) 433-2443
- NPI assigned
- Apr 9, 2007
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 4997 | CA | Primary |
Addresses
Primary practice location
5324 E 2ND St
Long Beach, CA 90803-5332
Mailing address
4803 Lakewood Blvd
Lakewood, CA 90712-3513
Phone (562) 420-2614
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 |
|---|---|---|---|
| AC 4997 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992828511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4803 LAKEWOOD BLVD",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907123513",
"telephone_number": "562-420-2614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5324 E 2ND ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908035332",
"telephone_number": "562-433-2443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THOM",
"middle_name": "TAN",
"name_prefix": "Mr.",
"credential": "L. AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 4997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.