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TAN KHAC NGUYEN M.D. NPI 1144273491


NPI Information

NPI: 1144273491
Provider Name: TAN KHAC NGUYEN, M.D.
Classification: Dermatology - 207NS0135X
Entity Type: Individual

Specialization: Procedural Dermatology

Organization: DEPARTMENT OF STATE HOSPITALS

PECOS Registration: Yes

Address:
1310 SAN BERNARDINO RD
SUITE 207
UPLAND, CA
ZIP 91786
Phone: (909) 946-8600
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Tan Khac Nguyen, M.D. is a procedural dermatology dermatology in Upland, CA with 33 years of experience. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). Tan Khac Nguyen, M.D. NPI is 1144273491. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1310 SAN BERNARDINO RD
SUITE 207
UPLAND, CA
ZIP 91786-979
Phone: (909) 946-8600
Fax: (909) 946-8604

The NPI 1144273491 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Destruction of skin growth (HCPCS:17000)
  • Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)
  • Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (HCPCS:13132)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips (HCPCS:11642)

The enumeration date for this NPI number is 5/18/2006 and was last updated on 8/8/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyA70331CALIFORNIANo
2207NS0135XDermatologyProcedural DermatologyA70331CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00614352OTHERCALIFORNIARAILLROAD MEDICARE
2H21605MEDICARE UPINCALIFORNIA
3WA7033IKMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.