DR. KEN NGUYEN (NPI# 1851351894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851351894 |
| Entity Type | Individual |
| Full Name | DR. KEN NGUYEN |
| Credential | D.O. |
| Practice Address |
8110 Mango Ave Fontana CA 92335-3603 |
| Mailing Address |
Po Box 12209 San Bernardino CA 92423-2209 |
| Practice Telephone | 9098221164 |
| Practice Fax Number | 9093572235 |
| Mailing Telephone | 9093354188 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2018-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 20A8914 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00AX69140 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275604639 | Ken Cuong Nguyen | Podiatrist | 12263 La Mirada Blvd, La Mirada, CA 90638-1329 | 2006-11-10 |
| 1205193828 | Ken Duong Nguyen | Internal Medicine | 207 S Santa Anita St Ste P15, San Gabriel, CA 91776-1165 | 2012-04-20 |
| 1043493612 | Ken Nguyen | Registered Nurse | 1540 E 1st St, Suite 100, Santa Ana, CA 92701-6341 | 2007-12-06 |
| 1922209055 | Ken T Nguyen | Internal Medicine | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2007-05-29 |
| Street Address |
8110 MANGO AVE |
| City | FONTANA |
| State | CA |
| Zip Code | 92335-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265491765 | Ayad Said Makar | Emergency Medicine | 8110 Mango Ave, Fontana, CA 92335-3603 | 2006-03-22 |
| 1861857260 | Erica Scott | Nurse Practitioner | 8110 Mango Ave, Fontana, CA 92335-3603 | 2015-12-29 |
| 1306210760 | Hyeran Lee | Nurse Practitioner | 8110 Mango Ave, Fontana, CA 92335-3603 | 2015-11-23 |
| 1538554548 | Mazin Elhadary | Family Medicine | 8110 Mango Ave, Fontana, CA 92335-3603 | 2015-04-06 |
| 1417342213 | Emad Nabil Lotfy Hanna | Pharmacist | 8110 Mango Ave, Fontana, CA 92335-3603 | 2015-03-30 |
| 1477959161 | Jereen Perez Medina | Nurse Practitioner | 8110 Mango Ave, Fontana, CA 92335-3603 | 2014-11-07 |
| 1942575022 | Heba A. Boshra | Family Medicine | 8110 Mango Ave, Suite 104, Fontana, CA 92335-3603 | 2012-03-21 |
| 1821360702 | Ana D Rubalcaba | Physician Assistant | 8110 Mango Ave, Fontana, CA 92335-3603 | 2012-02-07 |
| 1144534876 | Kevin Liao | Family Medicine | 8110 Mango Ave, Fontana, CA 92335-3603 | 2010-08-05 |
| 1215264098 | Young Kwun Kim | Dentist | 8110 Mango Ave, 101, Fontana, CA 92335-3603 | 2009-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265491765 | Ayad Said Makar | Emergency Medicine | 8110 Mango Ave, Fontana, CA 92335-3603 | 2006-03-22 |
| 1699775072 | John Leroy Brown | Emergency Medicine | 17500 Foothill Blvd # A-2, Fontana, CA 92335-3798 | 2005-07-28 |
| 1215310321 | Lisa Yee | Emergency Medicine | 9961 Sierra Ave, Dept of Emergency Medicine, Fontana, CA 92335 | 2015-07-07 |
| 1871933366 | Peter Thanhtung Nguyen | Emergency Medicine | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2013-06-27 |
| 1861835928 | Lisa Lee | Emergency Medicine | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2013-04-09 |
| 1023370525 | Silas Chun-wing Chiu | Emergency Medicine | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2012-06-11 |
| 1699032458 | Nima Ryan Moradian | Emergency Medicine | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2012-04-18 |
| 1619233426 | Jorge Larez Heredia | Emergency Medicine | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2012-04-05 |
| 1023306784 | Mountain View Urgent Care Group, Inc | Emergency Medicine | 16465 Sierra Lakes Pkwy, Suite 100, Fontana, CA 92336-1242 | 2011-07-15 |
| 1215223136 | Tam Van Dao | Emergency Medicine | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2011-06-20 |
| Find all providers in FONTANA | ||||
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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.