Individual provider Active NPI

Minhthao Thi Nguyen, DO

  • Endocrinology, Diabetes & Metabolism Physician
  • Westminster, CA
National Provider Identifier
1013408343
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
20A18758 Issued in CA
Practice address
10301 Bolsa Ave Ste 103
Westminster, CA 92683-6784
Phone
(657) 606-1484
Fax
(657) 600-6648
NPI assigned
May 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 20A18758 CA Primary

Addresses

Primary practice location

10301 Bolsa Ave Ste 103
Westminster, CA 92683-6784

Mailing address

10301 Bolsa Ave Ste 103
Westminster, CA 92683-6784

Other practice location 1

4150 V Street, PSSB, Suite G400
Sacramento, CA 95816-9581
Phone (916) 734-8328

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
I20231113000646 CA Practitioner - Endocrinology 4082962899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10301 Bolsa Ave
Suite 103
Westminster, CA 92683-6784
Phone (714) 274-5580

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A18758CAMDEndocrinology, Diabetes & Metabolism Physician
18758CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minhthao Thi Nguyen DO Inc Endocrinology, Diabetes & Metabolism CurrentSince Sep 26, 2023 Accepting new patients
St. Joseph Health Northern California, LLC General Acute Care Hospital Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

10301 Bolsa Ave
Ste 103
Westminster, CA 92683
Phone (714) 274-5580

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mnguyen831878@direct.memorialcare.org

Organizations & group practices 3

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 3

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": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1013408343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 BOLSA AVE STE 103",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 BOLSA AVE STE 103",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836784",
            "telephone_number": "657-606-1484",
            "fax_number": "657-600-6648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 V Street, PSSB, Suite G400",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958169581",
            "country_code": "US",
            "telephone_number": "916-734-8328",
            "fax_number": "657-600-6648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MINHTHAO",
        "middle_name": "THI",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "20A18758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.