Individual provider Active NPI

Quoc-Han Nguyen

  • Diagnostic Radiology Physician
  • Modesto, CA
National Provider Identifier
1013476878
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A194696 Issued in CA
Practice address
1524 McHenry Ave Ste 420
Modesto, CA 95350-4567
Phone
(209) 577-4444
Fax
(209) 852-2287
NPI assigned
Mar 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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
Diagnostic Radiology Physician 2085R0202X A194696 CA Primary

Addresses

Primary practice location

1524 McHenry Ave Ste 420
Modesto, CA 95350-4567

Mailing address

1524 McHenry Ave Ste 420
Modesto, CA 95350-4567
Phone (209) 577-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240531001516 CA Practitioner - Diagnostic Radiology 4981046224 Reassigns benefits to 2 organizations
I20241119003039 FL Practitioner - Diagnostic Radiology 4981046224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modesto Radiological Medical Group IncGroup PAC ID 2062300239, 95 clinicians
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, 908 clinicians
Turlock Imaging Services, LLCGroup PAC ID 3678850922, 16 clinicians

Practice addresses (Care Compare)

1441 Florida Ave
Modesto, CA 95350-4404
Phone (209) 576-3626

15255 Max Leggett Pkwy
Jacksonville, FL 32218-7213
Phone (904) 383-1000

3900 Geer Rd
Turlock, CA 95382-1147
Phone (209) 669-0600

4555 Emerson Expressway
Suite 120
Jacksonville, FL 32207-4958
Phone (904) 383-1036

4555 Emerson St
Jacksonville, FL 32207-4958

5191 1St Coast Tech Pkwy
Jacksonville, FL 32224-0609
Phone (904) 427-6991

653 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-1680

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (940) 244-4218

Hospital & facility affiliations

  • Doctors Medical Center Hospital, Modesto, CA, CCN 050464
  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001
  • Emanuel Medical Center Hospital, Turlock, CA, CCN 050179
  • Mercy Medical Center Hospital, Merced, CA, CCN 050444
  • Oak Valley Hospital District Hospital, Oakdale, CA, CCN 050067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A194696CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc Diagnostic Radiology CurrentSince Nov 4, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Diagnostic Radiology Current Accepting new patients
Modesto Radiology Imaging, Inc. Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Nov 4, 2024 Accepting new patients
Modesto Radiological Medical Group, Inc. Diagnostic Radiology CurrentSince Jun 23, 2024 Accepting new patients
Turlock Imaging Services, LLC CurrentSince Jun 25, 2024 Accepting new patients

Locations

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1524 McHenry Ave
Ste 420
Modesto, CA 95350
Phone (209) 522-2877

350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011

880 E Tuolumne Rd
Ste 202
Turlock, CA 95382
Phone (209) 664-5168

3900 Geer Rd
Turlock, CA 95382
Phone (209) 669-0600

2121 Colorado Ave
Turlock, CA 95382
Phone (209) 664-2520

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

Organizations & group practices 6

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1013476878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 MCHENRY AVE STE 420",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504567",
            "telephone_number": "209-577-4444",
            "fax_number": "813-916-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 MCHENRY AVE STE 420",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504567",
            "telephone_number": "209-577-4444",
            "fax_number": "209-852-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "QUOC-HAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A194696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.