MR. KEVIN DATHIEN NGUYEN (NPI# 1902420912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902420912 |
| Entity Type | Individual |
| Full Name | MR. KEVIN DATHIEN NGUYEN |
| Credential | PA-C |
| Practice Address |
705 Pearl St San Gabriel CA 91776-2619 |
| Mailing Address |
1501 E Holt Ave Ste A Pomona CA 91767-5823 |
| Practice Telephone | 5103004310 |
| Mailing Telephone | 9099882555 |
| Mailing Fax Number | 9094606600 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 58123 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386243830 | Kevin Khoa Nguyen | Nurse Practitioner | 6028 Pine Valley Ln, Fairview, PA 16415-3272 | 2020-10-25 |
| 1851907380 | Kevin Thanh Nguyen | Dentist | 17742 Beach Blvd Ste 350, Huntington Beach, CA 92647-6854 | 2020-09-21 |
| 1164989067 | Kevin Nguyen | Behavior Technician | 3303 Harbor Blvd, Costa Mesa Ca 92626, Suite B8, Costa Mesa, CA 92626 | 2019-02-27 |
| 1962855395 | Kevin Nguyen | Student in an Organized Health Care Education/Training Program | 1116 Garden Laurel Dr, Murphy, TX 75094-4162 | 2016-07-20 |
| 1518203835 | Kevin Nguyen | Pharmacist | 12862 Lemonwood Ln, Garden Grove, CA 92840-5521 | 2012-12-13 |
| 1386924405 | Kevin Hai Nguyen | Chiropractor | 2060 W Whispering Wind Dr # 264-2, Phoenix, AZ 85085-2867 | 2011-08-20 |
| 1558660704 | Kevin Khang Nguyen | Student in an Organized Health Care Education/Training Program | 2909 Ventura Dr, Santa Barbara, CA 93105-3012 | 2011-03-26 |
| 1124332796 | Kevin Hung Nguyen | Dentist | 536 S Fm 156, Justin, TX 76247-4600 | 2010-08-05 |
| 1306173273 | Kevin Khoi Nguyen | Pharmacist | 3732 W Northwest Highway, Dallas, TX 75220 | 2009-11-12 |
| 1396908968 | Kevin K Nguyen | Pharmacist | 6400 E Spring St, Long Beach, CA 90815-1553 | 2008-07-03 |
| Street Address |
705 PEARL ST |
| City | SAN GABRIEL |
| State | CA |
| Zip Code | 91776-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205395563 | Victor Alejandro Campos | Behavioral Analyst | 222 E. Las Tunas Drive, San Gabriel, CA 91776 | 2019-03-17 |
| 1700340445 | Chaoshan Medical Center | Acupuncturist | 206 E. Las Tunas Drive, Suite 1, San Gabriel, CA 91776 | 2019-01-28 |
| 1730671694 | Anh Thoai Quach | Acupuncturist | 801 E Valley Blvd Ste 102, San Gabriel, CA 91776 | 2018-06-05 |
| 1477044345 | Ethan C.a. Lee Dental Inc. | Dentist | 314 W. Valley Blvd, San Gabriel, CA 91776 | 2018-05-25 |
| 1952828220 | Helena Lau | Pharmacist | 1512 Prospect Avenue, Apartment D, San Gabriel, CA 91776 | 2017-08-27 |
| 1154844876 | An An Tong Corporation | Acupuncturist | 150 S San Gabriel Blvd., San Gabriel, CA 91776 | 2017-07-25 |
| 1689074734 | Son Nguyen Dds | Dentist | 730 East Valley Blvd, San Gabriel, CA 91776 | 2014-08-26 |
| 1376951509 | Pay-jiuan Chang, D.d.d., Inc. | Dentist | 1045 E. Valley Blvd., A 207, San Gabriel, CA 91776 | 2014-07-31 |
| 1396163614 | Wu Dental Inc. | Dentist | 410 S. San Gabriel Blvd #11, San Gabriel, CA 91776 | 2014-04-03 |
| 1114266574 | Jeremy Chen | Acupuncturist | 5200 N. Rosemead Blvd, San Gabriel, CA 91776 | 2013-02-05 |
| Find all providers in zip 91776 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715059 | Alexander S Gureghian | Physician Assistant | 6595 Provence Rd, San Gabriel, CA 91775-1741 | 2020-09-23 |
| 1316574650 | Padmanabhan Ramaswamy | Physician Assistant | 8718 Greenwood Ave, San Gabriel, CA 91775-1214 | 2020-03-26 |
| 1053840272 | Jennifer Tak Yin Chan | Physician Assistant | 438 W Las Tunas Dr, San Gabriel, CA 91776 | 2017-06-09 |
| 1548443310 | An S Elowe | Physician Assistant | 506 W Valley Blvd, Suite 100, San Gabriel, CA 91776-5716 | 2007-12-14 |
| 1265469274 | Luqiu Wang | Physician Assistant | 416 W Las Tunas Dr, Suite 205, San Gabriel, CA 91776-1236 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1992306872 | Kelsey Oberg | Physician Assistant | 1817 Oldfield Ct, El Cajon, CA 92019-4233 | 2020-11-05 |
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1164023347 | Wendy P Lewis | Physician Assistant | 10447 Highdale St, Bellflower, CA 90706-4122 | 2020-11-04 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
| City | SAN GABRIEL |
| Zip Code | 91776 |
Please comment or provide details below to improve the information on MR. KEVIN DATHIEN NGUYEN.
| 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.