KHANH QUOC NGUYEN (NPI# 1073536595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073536595 |
| Entity Type | Individual |
| Full Name | KHANH QUOC NGUYEN |
| Credential | N.P |
| Practice Address |
1801 E March Ln Stockton CA 95210-6629 |
| Mailing Address |
10609 Willow Glen Cir Stockton CA 95209-4195 |
| Practice Telephone | 2099543100 |
| Mailing Telephone | 2099575083 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 13374 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NURSING LICENSE | 13374 | 01 |
| CA | DEA NUMBER | MN 1047821 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253761 | Khanh Vu Phuong Nguyen | Nurse Practitioner | 13218 Bellaire Bld, Houston, TX 77083 | 2020-10-19 |
| 1396396164 | Khanh Nguyen | Dentist | 8605 Andromeda Rd, San Diego, CA 92126-1803 | 2019-09-24 |
| 1659846509 | Khanh Gia Nguyen | Pharmacist | 6444 Community Dr, Houston, TX 77005-3519 | 2018-10-08 |
| 1558842856 | Khanh Thy Nguyen | Registered Nurse | 502 Granada Dr, Garland, TX 75043-5118 | 2018-08-24 |
| 1023505187 | Khanh Hoai Nguyen | Nurse Practitioner | 8548 Stratus Dr, Orangevale, CA 95662-3928 | 2018-04-15 |
| 1942721618 | Khanh Vy Nguyen | Dentist | 42395 Ryan Rd Ste 104, Ashburn, VA 20148-4864 | 2017-07-03 |
| 1245602820 | Khanh Nguyen | Registered Nurse | 1725 W 17th St # 101e, Santa Ana, CA 92706-2316 | 2015-10-22 |
| 1073904744 | Khanh Nguyen | Dentist | 2567 W Lake Van Ness Cir, Fresno, CA 93711-7023 | 2015-02-16 |
| 1245679240 | Khanh To Nguyen | Internal Medicine | 5841 S Maryland Ave # Mc500, Chicago, IL 60637-1447 | 2013-06-23 |
| 1790022648 | Khanh Phuong Nguyen | Pharmacist | 16130 Jog Rd, Delray Beach, FL 33446-2319 | 2013-01-12 |
| Street Address |
1801 E MARCH LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-6629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215270 | Ronald A Kass | Internal Medicine | 1801 E March Ln, Suite C300, Stockton, CA 95210-6629 | 2005-06-15 |
| 1700327525 | Lakshmi Kulkarni | Pharmacist | 1801 E March Ln, Suite B280, Stockton, CA 95210-6629 | 2017-03-13 |
| 1811343734 | Josebelo D. Chong, M.d. Inc. | Internal Medicine | 1801 E March Ln, Suite C300, Stockton, CA 95210-6629 | 2016-05-10 |
| 1093113631 | Vijaysri Nannapaneni | Pharmacist | 1801 E March Ln, Suite B280, Stockton, CA 95210-6629 | 2014-12-15 |
| 1790107829 | Barry K Wilson Md Inc | Anesthesiology | 1801 E March Ln, Suite 360, Stockton, CA 95210-6629 | 2014-01-08 |
| 1396007100 | Jennifer Williams | Internal Medicine | 1801 E March Ln, Stockton, CA 95210 | 2012-06-08 |
| 1376815605 | Zeiter Eye Medical Group Inc Oculafacial Plastic and Reconstructive Su | Surgery | 1801 E March Ln, Suite A160, Stockton, CA 95210-6629 | 2012-02-02 |
| 1790080182 | James Lester Avery | Physician Assistant | 1801 E March Ln, D-460, Stockton, CA 95210-6629 | 2011-01-17 |
| 1477884161 | Kusum Lata | Internal Medicine | 1801 E March Ln, #a-170, Stockton, CA 95210-6629 | 2010-01-20 |
| 1023247079 | Valley Kidney Clinic Inc | Specialist | 1801 E March Ln, Suite B265, Stockton, CA 95210-6629 | 2009-07-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528817 | Gemekia Latrisha Morales | Nurse Practitioner | 1800 N. California, Stockton, CA 95952 | 2020-11-08 |
| 1992107114 | Dorothy Smith | Nurse Practitioner | 3531 Gold Coast Ct, Stockton, CA 95206-5143 | 2014-09-18 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| 1598003337 | Jose Antonio Marquez Santos | Nurse Practitioner | 10541 Arianne Dr, Stockton, CA 95209-4378 | 2013-01-30 |
| 1508134982 | Robin M Jackson | Nurse Practitioner | 1782 W Hammer Ln # 3, Stockton, CA 95209-2922 | 2011-12-13 |
| 1295757714 | Beth Gleason Mcmanis | Nurse Practitioner | 1041 Brookside Rd, Stockton, CA 95211-0001 | 2006-07-24 |
| 1649896184 | Rachel Valdez | Nurse Practitioner | 2633 Pacific Ave, Stockton, CA 95204-4429 | 2020-06-21 |
| 1740783778 | Emily Cruz | Nurse Practitioner | 678 N Wilson Way, Stockton, CA 95205-4272 | 2018-03-15 |
| 1821467747 | Illa Cox | Nurse Practitioner | 525 W Acacia St, Stockton, CA 95203-2405 | 2015-09-22 |
| 1013308485 | Rex Ambatali Jr. | Nurse Practitioner | 2633 Pacific Ave, Stockton, CA 95204-4429 | 2015-02-06 |
| Find all providers in STOCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.