DR. TAO T NGUYEN M.D NPI 1689693749

NPI Information

  • NPI: 1689693749
  • Provider Name: DR. TAO T NGUYEN, M.D
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • CLIA Number: 05D0902718
  • Address: 6043 ATLANTIC BLVD
    MAYWOOD, CA
    ZIP 90270
  • Phone: (323) 583-6516

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NPI Details

DR. Tao T Nguyen, M.D is an adolescent medicine pediatrics in Maywood, CA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Tao T Nguyen, M.D NPI is 1689693749. 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:

6043 ATLANTIC BLVD
MAYWOOD, CA
ZIP 90270-118
Phone: (323) 583-6516
Fax: (323) 583-0802

The CLIA number assigned to this NPI record is 05D0902718 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 5/13/2020.

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
1208000000XPediatrics00A444561CALIFORNIANo
22080A0000XPediatricsAdolescent MedicineA44456CALIFORNIAYes

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
1A444561MEDICAIDCALIFORNIA
21861587073OTHERCALIFORNIAPEDIATRICS

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: 3/30/2025

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