MARTIN TAI NGUYEN (NPI# 1396330825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396330825 |
| Entity Type | Individual |
| Full Name | MR. MARTIN TAI NGUYEN |
| Gender | Male |
| Practice Address | 5824 N 21st Ave Phoenix AZ 85015-2341 |
| Practice Telephone | 6236287464 |
| Practice Fax Number | 6023476272 |
| Mailing Address | 5824 N 21st Ave Phoenix AZ 85015-2341 |
| Mailing Telephone | 6236287464 |
| Mailing Fax Number | 6023476272 |
| Certification Date | 2021-03-06 |
| Enumeration Date | 2021-03-06 |
| Last Update Date | 2021-03-06 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | AZ | Student, Health Care |
| Street Address | 5824 N 21ST AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-2341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1962024273 | Mercury Medical Logistics | Durable Medical Equipment & Medical Supplies | 5060 N 19th Ave, Ste 300-#19, Phoenix, AZ 85015 | 2020-05-08 |
| 1134691173 | Ryan William Allen-Brady | Nurse Practitioner · Family | 5501 N 19th Ave Ste 103, Phoenix, AZ 85015 | 2018-12-31 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1881105450 | Patricia Maudlin · Patricia Zirbo-Cotuna | Physician Assistant | 1847 W Heatherbrae Dr, Phoenix, AZ 85015 | 2017-10-23 |
| 1013447879 | Jason H Nordean Dds Pllc · Jason H Nordean Dds Pllc | Dentist | 1950 W Indian School Rd, Suite 6, Phoenix, AZ 85015 | 2017-06-14 |
| 1851820146 | Jeff Biever | Specialist/Technologist Cardiovascular · Sonography | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1710430293 | Anoiel Gevergizian | Pharmacist | 2001 W Camelback Rd, Ste 290, Phoenix, AZ 85015 | 2016-08-01 |
| 1881147593 | Karen Cruz | Social Worker | 5040 N 15th Ave, Phoenix, AZ 85015 | 2016-07-28 |
| 1720457351 | Ryan Frazer | Family Medicine | 4350 N 19th Ave Ste 6, Phoenix, AZ 85015 | 2015-09-24 |
| Find all providers in zip 85015 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740875251 | Tiffany Denise Bradley | 2517 W Apollo Rd, Phoenix, AZ 85041-5338 | 2021-03-05 | |
| 1760077275 | Melissa Marie Aswad | 699 W Georgia Ave, Phoenix, AZ 85013-2020 | 2021-03-05 | |
| 1992390405 | Marco Antonio Enriquez | 1012 E Mitchell Dr, Phoenix, AZ 85014-5211 | 2021-03-05 | |
| 1003401514 | Brittany Barbarisi | 1313 N 2nd St Apt 1213, Phoenix, AZ 85004-1766 | 2021-03-05 | |
| 1649865155 | Sydney Paige Polychronis | 5235 W Desert Hollow Dr, Phoenix, AZ 85083-4405 | 2021-03-05 | |
| 1679168181 | Brooke Ann Robinson | 1333 E Morten Ave Unit 137, Phoenix, AZ 85020-4559 | 2021-03-05 | |
| 1659966166 | Kaelyn Garner | 1616 N Central Ave Apt 1314, Phoenix, AZ 85004-1658 | 2021-03-05 | |
| 1730774241 | Andrew Tkacik | 1616 N Central Ave Apt 1432, Phoenix, AZ 85004-1661 | 2021-03-05 | |
| 1629663133 | Oscar Orlando Campuzano Jr. | 2220 E Beardsley Rd Apt 1127, Phoenix, AZ 85024-3412 | 2021-03-05 | |
| 1477148989 | David Escobedo | 3511 E Baseline Rd Unit 1146, Phoenix, AZ 85042-7230 | 2021-03-05 | |
| Find all providers in PHOENIX | ||||
| City | PHOENIX |
| Zip Code | 85015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114267853 | Nga Nguyen Molte · Nga Bich Nguyen | Hospitalist | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2013-02-17 |
| 1861953580 | Thanh Nguyen Nguyen | Case Manager/Care Coordinator | 3639 Martin Luther King Jr Way S, Seattle, WA 98144-6847 | 2019-03-26 |
| 1740604750 | Minh-Phuong Nguyen · Phuong Nguyen | Counselor · Addiction (Substance Use Disorder) | 3639 Martin Luther King Jr Way S, Seattle, WA 98144-6847 | 2014-02-11 |
| 1962796326 | Nguyen T Vo | Family Medicine | 850 Martin Rd, Amarillo, TX 79107-6814 | 2011-06-02 |
| 1518294594 | Trang Nguyen Bui | Pediatrics · Pediatric Pulmonology | 903 W Martin St, San Antonio, TX 78207 | 2009-11-11 |
| 1700378148 | Tran Nguyen | Student in an Organized Health Care Education/Training Program | 903 W Martin St, San Antonio, TX 78207-0903 | 2018-06-01 |
| 1306383336 | David Nguyen | Nurse Anesthetist, Certified Registered | 169 Martin Ave, Ephrata, PA 17522-1724 | 2017-01-29 |
| 1205488079 | Ann Nguyen | Behavior Technician | 2222 Martin Ste 170, Irvine, CA 92612-1450 | 2019-07-11 |
| 1417455080 | Martin Nguyen | Physical Therapist | 380 Stevens Ave Ste 314, Solana Beach, CA 92075-2069 | 2018-01-29 |
| 1962048033 | Martin Nguyen | Student in an Organized Health Care Education/Training Program | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2019-11-22 |
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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.