DR. SON NGOC NGUYEN M.D. NPI 1376593889

NPI Information

  • NPI: 1376593889
  • Provider Name: DR. SON NGOC NGUYEN, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2150 N WATERMAN AVE
    STE 202
    SAN BERNARDINO, CA
    ZIP 92404
  • Phone: (909) 383-9385

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NPI Details

DR. Son Ngoc Nguyen, M.D. is a family medicine in San Bernardino, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Son Ngoc Nguyen, M.D. NPI is 1376593889. 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:

2150 N WATERMAN AVE
STE 202
SAN BERNARDINO, CA
ZIP 92404-811
Phone: (909) 383-9385
Fax: (909) 882-2463

The NPI 1376593889 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 enumeration date for this NPI number is 5/12/2006 and was last updated on 6/4/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineA49188CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11376593889MEDICAIDCALIFORNIA
2AZ518ZMEDICARE PINCALIFORNIA
3ZZZ43246ZOTHERCALIFORNIABLUE SHIELD OF CA
41235318445MEDICAIDCALIFORNIA
500A491880MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
6080057692MEDICARE PINCALIFORNIA
7ZZZ43246ZMEDICARE 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: 11/21/2025

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