DR. SAN T NGUYEN MD
NPI 1194738849
Specialist in Alhambra, CA

Active since August 14, 2006PECOS EnrolledCLIA 05D0859654 · Waiver
1021 S GARFIELD AVE, ALHAMBRA, CA 91801(626) 282-6311(626) 282-6053 Get Directions Write a Review

NPPES record last updated: March 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. San T Nguyen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAN T NGUYEN MD (NPI 1194738849) is an individual specialist in Alhambra, California, licensed in California (A32179) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2026, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1194738849
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. SAN T NGUYENCredential: MD
Location Address1021 S GARFIELD AVEAlhambra, CA 91801-4710
Mailing Address1021 S Garfield AveAlhambra, CA 91801-4710 · (626) 282-6311 · Fax (626) 282-6053
Fax(626) 282-6053
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateAugust 14, 2006
Last NPPES UpdateMarch 20, 2020
NPPES CertifiedMarch 20, 2020
NPI 1194738849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A32179
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1021 S GARFIELD AVE, Alhambra, CA 91801

Other Identifiers 1

Medicaid1194738849CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. San T Nguyen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446553549
PECOS Enrollment IDI20250616003662
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0859654

San T Nguyen MD · Alhambra, CA
Active · expires Aug 31, 2026
CLIA Number05D0859654
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSan T. Nguyen MD
Laboratory Phone(818) 282-6311
Laboratory LocationSan T Nguyen MD1021 South Garfield Ave, Alhambra, CA 91801
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist, Other (Surgical Assistant)
1021 S GARFIELD AVE
ALHAMBRA, CA 91801
Psychiatry & Neurology (Psychiatry)
1021 S GARFIELD AVE
ALHAMBRA, CA 91801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Nguyen's NPI number?

The NPI number for San Nguyen is 1194738849. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is San Nguyen located?

San Nguyen practices at 1021 S Garfield Ave, Alhambra, CA 91801. The listed phone number is (626) 282-6311.

What is San Nguyen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is San Nguyen enrolled in Medicare?

Yes. San Nguyen is registered in the Medicare PECOS enrollment system.

Does San Nguyen hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0859654) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Nguyen was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.