BAO LOU NGUYEN (NPI# 1487768743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487768743 |
| Entity Type | Individual |
| Full Name | BAO LOU NGUYEN |
| Credential | DDS |
| Practice Address |
2150 N Waterman Ave Ste 103 San Bernardino CA 92404-4811 |
| Practice Telephone | 9098827974 |
| Practice Fax Number | 9097130192 |
| Mailing Telephone | 9098827974 |
| Mailing Fax Number | 9097130192 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
42378 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BN4237801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184289225 | Bao Nguyen | Pharmacist | 13667 Eastbridge St, Westminster, CA 92683-2990 | 2019-05-03 |
| 1942758115 | Bao Nguyen | Registered Nurse | 6256 Welch Ave, Stockton, CA 95210-5623 | 2016-09-16 |
| 1861848061 | Bao Xuan Nguyen | Internal Medicine | 301 University Blvd, Rt. 0553, Galveston, TX 77555-0553 | 2016-05-06 |
| 1285916338 | Bao Ngoc Bui Nguyen | Pharmacist | 9809 Sw 23rd St, Yukon, OK 73099-5154 | 2011-09-14 |
| 1952680746 | Bao C Nguyen | Chiropractor | 2760 E Spring St, Suite 150, Long Beach, CA 90806-2253 | 2011-08-10 |
| 1285960633 | Bao Tich Nguyen | Dentist | 9516 Jones Rd Ste D, Houston, TX 77065-5373 | 2009-10-20 |
| 1427196328 | Bao Quoc Nguyen | Dentist | 6947 Linda Vista Rd, Suite B, San Diego, CA 92111 | 2007-02-02 |
| 1942319058 | Bao T Nguyen | Dentist | 26550 Ynez Rd Ste B, Temecula, CA 92591-4625 | 2006-08-30 |
| 1588673024 | Bao Anh Le Nguyen | Internal Medicine | 1441 E Via Verde Dr, Fresno, CA 93730-8806 | 2006-08-05 |
| 1821032475 | Bao Q Nguyen | Family Medicine | 10923 Meadowmont Way, Stockton, CA 95219-7173 | 2006-06-15 |
| Street Address |
2150 N WATERMAN AVE STE 103 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-4811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003898792 | Kofi Adade-boafo | Pediatrics | 2150 N Waterman Ave, Ste 200, San Bernardino, CA 92404-4811 | 2005-11-17 |
| 1619288115 | Brandon Jay Friedman | Optometrist | 2150 N Waterman Ave, Suite 201, San Bernardino, CA 92404-4811 | 2010-06-30 |
| 1952538779 | Tonya Maria Pinkerton | Physician Assistant | 2150 N Waterman Ave, 102, San Bernardino, CA 92404-4811 | 2009-06-18 |
| 1255577086 | Kha Dang Le and Anne Hangman Le Dmd Inc | Dentist | 2150 N Waterman Ave, Suite # 103, San Bernardino, CA 92404 | 2008-12-29 |
| 1700057056 | Anne Hongman Le | Dentist | 2150 N Waterman Ave, San Bernardino, CA 92404-4811 | 2008-03-14 |
| 1528238961 | Inland Healthcare Group, A Medical Corporation | Pediatrics | 2150 N Waterman Ave, Suite 303, San Bernardino, CA 92404-4811 | 2008-02-29 |
| 1497965529 | Raymond A Cervenka | Physician Assistant | 2150 N Waterman Ave, San Bernardino, CA 92404-4811 | 2007-05-24 |
| 1679628069 | Arthur Friedman Od A Professional Optometric Corporation | Optometrist | 2150 N Waterman Ave, #201, San Bernardino, CA 92404-4811 | 2007-01-24 |
| 1609988526 | Lac Pharmacies Inc | Pharmacy | 2150 N Waterman Ave, Ste 104, San Bernardino, CA 92404-4811 | 2006-08-31 |
| 1417963398 | Maria D Torres | Physician Assistant | 2150 N Waterman Ave, Ste 202, San Bernardino, CA 92404-4811 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811249139 | Nicole Chung | Dentist | 5145 Marquette Ave, San Bernardino, CA 92407-4623 | 2012-10-10 |
| 1235294711 | Timothy Scott Tobias | Dentist | 1849 Commercenter E, Suite A, San Bernardino, CA 92408-3427 | 2006-12-26 |
| 1861576134 | Romulo Lorenzo Deleon | Dentist | 1849 Commercenter East, Suite A, San Bernardino, CA 92408 | 2006-10-24 |
| 1114947108 | David J. Wolfe | Dentist | 1881 Business Center Dr, Suite 7a, San Bernardino, CA 92408-3465 | 2006-07-20 |
| 1548708423 | Debra A. Meadows, Dds Inc | Dentist | 1881 Business Center Drive, Suite 7a, San Bernardino, CA 92408-3465 | 2017-02-10 |
| 1770931065 | Parth Shailesh Karia | Dentist | 4168 N Sierra Way, San Bernardino, CA 92407-3819 | 2016-05-27 |
| 1902937311 | Debra A Meadows | Dentist | 2015b N Waterman Ave, San Bernardino, CA 92404-4834 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578655 | Pinole Endodontics | Dentist | 2150 Appian Way Ste 207, Pinole, CA 94564-2520 | 2020-11-05 |
| 1518566702 | Sp Endodontics Partnershiop | Dentist | 1300 W Lodi Ave Ste N, Lodi, CA 95242-3038 | 2020-10-20 |
| 1215535661 | Ascella Justine Ronson | Dentist | 35395 Linda Rosea Rd, Temecula, CA 92592-9532 | 2020-10-16 |
| 1457964215 | Lars Bjorn Jonsson, D.d.s., M.s., Inc. | Dentist | 25261 Paseo De Valencia Ste 3, Laguna Hills, CA 92637-4966 | 2020-08-31 |
| 1952929333 | Noureldin Shoreibah Dds Inc | Dentist | 7677 Center Ave Ste 210, Huntington Beach, CA 92647-9103 | 2020-07-11 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1568091833 | M. Potti Dds Msd Inc | Dentist | 6400 Village Pkwy Ste 100, Dublin, CA 94568-3007 | 2020-04-07 |
| 1194356840 | Liang Dental Group Inc | Dentist | 5562 Philadelphia St Ste 211, Chino, CA 91710-2499 | 2020-01-31 |
| 1699313015 | Paul Erben Dmd Msd PC | Dentist | 937 E Main St Ste 204, Santa Maria, CA 93454-5309 | 2019-12-16 |
| 1396382495 | Narbeh Bandary Dental Corp | Dentist | 4910 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1718 | 2019-12-08 |
| Find all providers with the same taxonomy | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
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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.