IndividualActive
An Tam Nguyen, PA-C
NPI 1295229235 · Surgical Physician Assistant · Upland, CA
Provider details
- NPI number
- 1295229235
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 1382 (NH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
901 San Bernardino Rd Ste 102
Upland, CA 91786-4988
Phone: (909) 579-6721
Fax: (909) 579-6737
Approximate (ZIP-level) locationGet directions
Mailing address
901 San Bernardino Rd Ste 102
Upland, CA 91786-4988
Registry dates
- Enumerated
- 2018-06-21
- Last updated
- 2020-02-24
- Certified
- 2020-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.