NPIMap

Individual provider Active NPI

Nguyen Nguyen

  • Family Medicine Physician
  • Fairfield, CA
National Provider Identifier
1013364900
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A162315 Issued in CA
Practice address
2458 Hilborn Rd
Fairfield, CA 94534-1072
Phone
(707) 646-5500
Fax
(707) 646-5501
NPI assigned
May 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X A162315 CA Primary

Addresses

Primary practice location

2458 Hilborn Rd
Fairfield, CA 94534-1072

Mailing address

4800 Alberta Ave
El Paso, TX 79905-2709

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190801001057 CA Practitioner - Family Practice 4183950884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northbay Physicians Surgery Center, LLCGroup PAC ID 0042122244, 336 clinicians
Northbay Health Medical FoundationGroup PAC ID 3274010871, 207 clinicians

Practice addresses (Care Compare)

2458 Hilborn Rd
Fairfield, CA 94534-1072
Phone (707) 646-5500

2470 Hilborn Rd
Suite 100And200
Fairfield, CA 94534-1100
Phone (707) 646-5500

Hospital & facility affiliations

  • Healthflex Home Health Services Home health agency, Oakland, CA, CCN 059551
  • Mission Home Health of Contra Costa Home health agency, Concord, CA, CCN 059536
  • Ascension Healthcare Services Home health agency, Campbell, CA, CCN 059765
  • Angelcare Home Health Services, LLC Home health agency, Milpitas, CA, CCN 053162
  • Assist on Call Professional in-Home Care Services Home health agency, Pleasant Hill, CA, CCN 059607
  • Northbay Medical Center Hospital, Fairfield, CA, CCN 050367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northbay Healthcare Group CurrentSince Aug 1, 2019 Accepting new patients
Northbay Healthcare Group CurrentSince Aug 1, 2019 Accepting new patients
Northbay Health Medical Foundation Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Northbay Healthcare Group Current Accepting new patients

Locations

1305 Stratford Ave
Dixon, CA 95620

2470 Hilborn Rd
Ste 100
Fairfield, CA 94534
Phone (707) 646-4600

2470 Hilborn Rd
Fairfield, CA 94534
Phone (707) 446-7676

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

2458 Hilborn Rd
Fairfield, CA 94534
Phone (707) 646-4400

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

1010 Nut Tree Rd
Ste 100B
Vacaville, CA 95687
Phone (707) 646-7999

101 Main St
Winters, CA 95694
Phone (530) 795-4123

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1013364900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 ALBERTA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2458 HILBORN RD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341072",
            "telephone_number": "707-646-5500",
            "fax_number": "707-646-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NGUYEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A162315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.