Tan Ba Nguyen
FULLERTON RADIOLOGY MEDICAL GROUP, INC


Address: 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115
Phone: 7149700200

Tan Ba Nguyen (NPI# 1053668608, PAC ID# 7810204799) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1053668608
PAC ID by PECOS 7810204799
Professional Enrollment ID I20170721001538
Full Name Tan Ba Nguyen
Organization Legal Name FULLERTON RADIOLOGY MEDICAL GROUP, INC
Address 5528 E La Palma Ave
Suite 4 A
Anaheim
CA 92807-2115
Phone Number 7149700200
Gender M
Medical School UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE
Graduation Year 2012
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 4587632575
Number of Group Practice Members 20
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050329 CORONA REGIONAL MEDICAL CENTER
050589 PLACENTIA LINDA HOSPITAL
050758 MONTCLAIR HOSPITAL MEDICAL CENTER
050586 CHINO VALLEY MEDICAL CENTER

Other Locations

Address Phone Organization
5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115 7149700200 FULLERTON RADIOLOGY MEDICAL GROUP, INC
800 S Main St, Corona, CA 92882-3400 9517374343 FULLERTON RADIOLOGY MEDICAL GROUP, INC

Organization Information

Organization Legal Name FULLERTON RADIOLOGY MEDICAL GROUP, INC
Physicians 10

Physicians with the same organization

Name Specialty Organization Address
John C Kirby Diagnostic Radiology Fullerton Radiology Medical Group, Inc 13100 Studebaker Rd, Norwalk, CA 90650-2531
Michael Chan Diagnostic Radiology Fullerton Radiology Medical Group, Inc 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115
Bruce Omiya Diagnostic Radiology Fullerton Radiology Medical Group, Inc 13100 Studebaker Rd, Norwalk, CA 90650-2531
Sam Zeim Diagnostic Radiology Fullerton Radiology Medical Group, Inc 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115
Kevin Thien Toan Bui Diagnostic Radiology Fullerton Radiology Medical Group, Inc 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115
Mohammad Mahdi Kassir Diagnostic Radiology Fullerton Radiology Medical Group, Inc 5451 Walnut Ave, Chino, CA 91710-2609
Senthil Sivakumar Gunasekaran Diagnostic Radiology Fullerton Radiology Medical Group, Inc 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115
Thomas H Lee Diagnostic Radiology Fullerton Radiology Medical Group, Inc 13100 Studebaker Rd, Norwalk, CA 90650-2531
Russell B Keating Diagnostic Radiology Fullerton Radiology Medical Group, Inc 13100 Studebaker Rd, Norwalk, CA 90650-2531

Office Location

Street Address 5528 E LA PALMA AVE
SUITE 4 A
City ANAHEIM
State CA
Zip 92807-2115

Physicians in the same location

Name Specialty Organization Address
Michael Chan Diagnostic Radiology Fullerton Radiology Medical Group, Inc 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115
Sam Zeim Diagnostic Radiology Fullerton Radiology Medical Group, Inc 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115
Kevin Thien Toan Bui Diagnostic Radiology Fullerton Radiology Medical Group, Inc 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115
Senthil Sivakumar Gunasekaran Diagnostic Radiology Fullerton Radiology Medical Group, Inc 5528 E La Palma Ave, Suite 4 A, Anaheim, CA 92807-2115

Physicians in the same zip code

Name Specialty Organization Address
Nathan A Cowell Chiropractic 4455 E La Palma Ave, Anaheim, CA 92807-1803
Benedicte Gonzalez Optometry Marshall B Ketchum University 5460 E La Palma Ave, Anaheim, CA 92807-2023
Patrick D Yoshinaga Optometry Marshall B Ketchum University 5460 E La Palma Ave, Anaheim, CA 92807-2023
Katherine Zhang Optometry Marshall B Ketchum University 5460 E La Palma Ave, Anaheim, CA 92807-2023
Judy Tong Optometry Marshall B Ketchum University 5460 E La Palma Ave, Anaheim, CA 92807-2023
Catherine Heyman Optometry Marshall B Ketchum University 5460 E La Palma Ave, Anaheim, CA 92807-2023
David Sendrowski Optometry Marshall B Ketchum University 5460 E La Palma Ave, Anaheim, CA 92807-2023
Robert M Yacoub Optometry Marshall B Ketchum University 5460 E La Palma Ave, Anaheim, CA 92807-2023
John H Lee Optometry Marshall B Ketchum University 5460 E La Palma Ave, Anaheim, CA 92807-2023
Ashley Elizabeth Nickell Optometry Marshall B Ketchum University 5460 E La Palma Ave, Anaheim, CA 92807-2023
Find all physicians in zip 92807

Competitor

Search similar physicians

City ANAHEIM
Zip Code 92807
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty ANAHEIM + DIAGNOSTIC RADIOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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