Healthcare Provider Details

I. General information

NPI: 1831325174
Provider Name (Legal Business Name): TUAN A NGUYEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2009
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 MORSE AVE # 2D DEPARTMENT OF NEPHROLOGY
SACRAMENTO CA
95825-2115
US

IV. Provider business mailing address

2025 MORSE AVE # 2D DEPARTMENT OF NEPHROLOGY
SACRAMENTO CA
95825-2115
US

V. Phone/Fax

Practice location:
  • Phone: 916-973-5230
  • Fax:
Mailing address:
  • Phone: 916-973-5230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberA115354
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: