Individual provider Active NPI

Vinh Ngoc Nguyen, M.D.

  • Diagnostic Radiology Physician
  • Newport Beach, CA
National Provider Identifier
1003077256
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A120788 Issued in CA
Practice address
3300 W Coast Hwy Ste B
Newport Beach, CA 92663-4007
Phone
(888) 762-4127
Fax
(714) 571-5055
NPI assigned
Jun 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 45868 AZ
Diagnostic Radiology Physician 2085R0202X A120788 CA Primary
Diagnostic Radiology Physician 2085R0202X ME113630 FL
Diagnostic Radiology Physician 2085R0202X 7675702-1205 UT

Addresses

Primary practice location

3300 W Coast Hwy Ste B
Newport Beach, CA 92663-4007

Mailing address

16061 Mullien Circle
Fountain Valley, CA 92708-1525
Phone (714) 642-6548

Other identifiers 1

IdentifierTypeStateIssuer
699777MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120727000198 CA Practitioner - Diagnostic Radiology 4789855743 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Irvine, California College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard Simon MD PLLCGroup PAC ID 7214369966, 61 clinicians
Howard John Simon MD PCGroup PAC ID 1658602263, 36 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

1036 Breakaway Dr
Oceanside, CA 92057-1912
Phone (480) 306-6949

15775 Laguna Canyon Rd
Suite 140
Irvine, CA 92618-3190
Phone (949) 522-8120

24 Pacific GRV
Irvine, CA 92602-1017
Phone (480) 306-6949

24022 Calle de la Plata
Suite 100
Laguna Hills, CA 92653-3627
Phone (949) 330-8996

8370 Wilshire Blvd
110 Simonmed Imaging Beverly Hills Stand Up
Beverly Hills, CA 90211-2334
Phone (323) 966-0000

9069 McBride River Ave
Fountain Valley, CA 92708-6405
Phone (480) 306-6949

Merit-based Incentive Payment System (MIPS)

Final score
85.43 of 100Reported as group
Quality
82.86
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
68.83 of 100Reported as group
Quality
63.33
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45868AZMDDiagnostic Radiology Physician
A120788CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince Dec 28, 2020 Accepting new patients
Simonmed Reno PLLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jun 15, 2020 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jun 15, 2020 Accepting new patients
Howard John Simon MD PC Diagnostic Radiology CurrentSince Feb 5, 2021 Accepting new patients
Memorialcare Medical Foundation CurrentSince Aug 4, 2013 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients
Wave Imaging LLC PastSince Nov 1, 2013 Accepting new patients
University Radiology Associates Diagnostic Radiology PastSince Feb 1, 1997 Accepting new patients
Simonmed Imaging a Professional Corporation Diagnostic Radiology Past Accepting new patients
Bristol Park Medical Group, Inc Past Accepting new patients

Locations (25 of 85)

3618 W Anthem Way
Ste D104
Anthem, AZ 85086
Phone (623) 551-3391

2080 W Southern Ave
Bldg C
Apache Junction, AZ 85120
Phone (480) 474-5960

10815 W McDowell Rd
Ste 102
Avondale, AZ 85392
Phone (623) 423-0121

818 S Watson Rd
Ste 102
Buckeye, AZ 85326
Phone (623) 302-9080

1664 E Florence Blvd
Ste 18
Casa Grande, AZ 85122
Phone (520) 421-4875

1960 W Frye Rd
Ste 1
Chandler, AZ 85224
Phone (480) 306-7340

235 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 264-2300

1870 W Frye Rd
Ste 3
Chandler, AZ 85224
Phone (480) 264-2350

1000 N Humphreys St
Ste 100
Flagstaff, AZ 86001
Phone (928) 223-0200

1760 E Pecos Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 553-8999

2450 E Guadalupe Rd
Ste 109
Gilbert, AZ 85234
Phone (480) 284-6019

2680 S Val Vista Dr
Ste 135
Gilbert, AZ 85295
Phone (480) 584-4900

875 N Greenfield Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 545-0113

5410 W Thunderbird Rd
Ste 221
Glendale, AZ 85306
Phone (602) 682-5000

6320 W Union Hills Dr
Ste 120
Glendale, AZ 85308
Phone (602) 535-2840

5620 W Thunderbird Rd
Ste A
Glendale, AZ 85306
Phone (602) 336-8600

5410 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 424-0935

1325 N Litchfield Rd
Ste 115
Goodyear, AZ 85395
Phone (602) 584-4944

13555 W McDowell Rd
Ste 100
Goodyear, AZ 85395
Phone (623) 213-7690

13657 W McDowell Rd
Ste 111
Goodyear, AZ 85395
Phone (623) 302-7930

7205 S 51st Ave
Ste 101
Laveen, AZ 85339
Phone (602) 627-0170

44555 W Edison Rd
Maricopa, AZ 85138
Phone (520) 666-7960

1425 S Greenfield Rd
Bldg 2
Mesa, AZ 85206
Phone (480) 324-8033

5424 E Southern Ave
Ste 104
Mesa, AZ 85206
Phone (480) 218-3250

456 N Mesa Dr
Mesa, AZ 85201
Phone (480) 655-7517

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1003077256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16061 MULLIEN CIRCLE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081525",
            "telephone_number": "714-642-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W COAST HWY STE B",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634007",
            "telephone_number": "888-762-4127",
            "fax_number": "714-571-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VINH",
        "middle_name": "NGOC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "45868",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A120788",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME113630",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "7675702-1205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699777",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.