T. NGUYEN, DDS, CORPORATION NPI 1003005349

Preferred Provider Organization in Hercules, CA

NPI 1003005349 Organization Preferred Provider Organization

About T. NGUYEN, DDS, CORPORATION

T. Nguyen, Dds, Corporation is a provider established in Hercules, California specializing in preferred provider organization. The NPI number of T. Nguyen, Dds, Corporation is 1003005349 and was assigned on October 2007. The practitioner's primary taxonomy code is 305R00000X with license number 46659 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Thang Nguyen Dds (President)

NPI

1003005349

Provider NameT. NGUYEN, DDS, CORPORATION
Provider Location Address500 ALFRED NOBEL DR 285 HERCULES, CA 94547
Provider Mailing AddressPO BOX 1695 PO BOX1695 WEST SACRAMENTO, CA 95691
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-23-2007
Last Update Date04-05-2012


Primary Taxonomy

Taxonomy Code305R00000X
ClassificationPreferred Provider Organization
TypeManaged Care Organizations
License No.46659
License StateCA
Taxonomy DescriptionA group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Business Address

T. NGUYEN, DDS, CORPORATION
500 ALFRED NOBEL DR
285
HERCULES, CA
ZIP 94547
Phone: (510) 741-7041
Fax: (510) 803-5200

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Mailing Address

T. NGUYEN, DDS, CORPORATION
PO BOX 1695
PO BOX1695
WEST SACRAMENTO, CA
ZIP 95691
Phone: (510) 741-7041
Fax: (510) 803-5200



Authorized Official

Authorized Official Name THANG NGUYEN DDS
Authorized Official TitlePRESIDENT
Authorized Official Phone(510) 741-7041

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851358717 S. GABRIEL RESPICIO III O.D.
Individual
Optometrist500 ALFRED NOBEL DR SUITE 117
HERCULES, CA 94547
(510) 964-1484
1255399564CONTRA COSTA MEDICAL GROUP FOR WOMEN, INC.
Organization
Obstetrics & Gynecology500 ALFRED NOBEL DR SUITE 200
HERCULES, CA 94547
(510) 724-4435
1588622146 LILIA IVETH LIZANO M.D.
Individual
Obstetrics & Gynecology500 ALFRED NOBEL DR SUITE 200
HERCULES, CA 94547
(510) 724-4435
1083643696DR. VICTOR C.P. KERENYI D.C.
Individual
Chiropractor500 ALFRED NOBEL DR SUITE 175
HERCULES, CA 94547
(510) 741-8300
1508898990 RODOLFO CADANG M.D.
Individual
Internal Medicine500 ALFRED NOBEL DR SUITE 150
HERCULES, CA 94547
(510) 741-2111
1497787899 MARIA ESCALADA M.D.
Individual
Family Medicine500 ALFRED NOBEL DR SUITE 150
HERCULES, CA 94547
(510) 779-2100
1760599765 GLORIA FARNE UY DMD
Individual
Dentist (General Practice)500 ALFRED NOBEL DR SUITE 265
HERCULES, CA 94547
(510) 724-4678
1164514881EITAN HOMA MD AND JENNIFER KRASNOFF MD INC
Organization
Dermatology500 ALFRED NOBEL DR STE 245
HERCULES, CA 94547
(510) 741-7418
1861588691DR. DOUGLAS C LIN D.D.S.
Individual
Dentist (General Practice)500 ALFRED NOBEL DR SUITE 130
HERCULES, CA 94547
(510) 741-1777
1548342934 JENNIFER KRASNOFF MD
Individual
Specialist500 ALFRED NOBEL DR SUITE 245
HERCULES, CA 94547
(510) 741-7418
1457416927MR. AJ H. HUANG L.AC.
Individual
Acupuncturist500 ALFRED NOBEL DR SUITE 220
HERCULES, CA 94547
(510) 741-7300
1710039607DR. HELAINE BARBARA PLEET MD MPH
Individual
Pediatrics500 ALFRED NOBEL DR SUITE 255A
HERCULES, CA 94547
(510) 964-9647
1285776336BETTY J. FONG DDS, A PROFESSIONAL CORPORATION
Organization
Dentist500 ALFRED NOBEL DR SUITE 240
HERCULES, CA 94547
(510) 741-2140
1124143227 OKSANA M PETERS PA
Individual
Physician Assistant500 ALFRED NOBEL DR SUITE 245
HERCULES, CA 94547
(510) 741-7456
1235257197 YEE FONG CHEN
Individual
Acupuncturist500 ALFRED NOBEL DR SUITE # 220
HERCULES, CA 94547
(510) 381-0238
1427223379DR. ELIZABETH POSADAS MORA D.D.S.
Individual
Dentist (General Practice)500 ALFRED NOBEL DR SUITE 180
HERCULES, CA 94547
(510) 724-3119
1396037263VICTOR CP KERENYI
Organization
Chiropractor500 ALFRED NOBEL DR SUITE 175
HERCULES, CA 94547
(510) 741-8300
1578817961DOUGLAS LIN, DDS, INC
Organization
Dentist500 ALFRED NOBEL DR SUITE 130
HERCULES, CA 94547
(510) 741-1777
1255425583 WENDY B. MAZURSKY PA-C, MS
Individual
Physician Assistant500 ALFRED NOBEL DR #245
HERCULES, CA 94547
(510) 741-7418
1801998836 JOSE ENZ MD
Individual
Pediatrics500 ALFRED NOBEL DR #255A
HERCULES, CA 94547
(510) 964-9647

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.