Khoi N Nguyen, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A36682 Issued in CA

Practice address

15982 Quantico Rd
Suite F
Apple Valley, CA 92307-1382

Phone

(760) 242-3768

Fax

(760) 242-5601

NPI assigned

Mar 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1013976174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3555",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070070",
            "telephone_number": "760-242-3768",
            "fax_number": "760-242-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15982 QUANTICO RD",
            "address_2": "SUITE F",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071382",
            "telephone_number": "760-242-3768",
            "fax_number": "760-242-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHOI",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A36682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A366820",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110013433",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Life Facility Inc
• New Life Medical Associates, Inc.
• Nexus Hospice of the High Desert, LLC
• Nexus Infusion Services PC
• Henriett Nguyen
• Kimberly Anh-Thu Nguyen, PHARM.D.
• Phong Dang Nguyen, RPH
• Quang Thien Nguyen
• Tuong-Thuy Nguyen, DO
• Lorie Lynn Nicholas

• Gastroenterology Physician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.