Individual provider Active NPI

Kim Ngoc Nguyen, MD

  • Family Medicine Physician
  • Chino, CA
National Provider Identifier
1053013771
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A205793 Issued in CA
Practice address
5451 Walnut Ave
Chino, CA 91710-2609
Phone
(094) 648-6009
NPI assigned
Mar 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A205793 CA Primary

Addresses

Primary practice location

5451 Walnut Ave
Chino, CA 91710-2609

Mailing address

16444 Everest Cir
Fountain Valley, CA 92708-1849
Phone (714) 598-5810

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
I20250502003047 CA Practitioner - Family Practice 5597060939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Valley Community Health Center, Inc.Group PAC ID 9234041765, shared by 4 NPIs, 50 clinicians
Dao Medical Group IncGroup PAC ID 2466687728, 12 clinicians

Practice addresses (Care Compare)

1555 S Garey Ave
Pomona, CA 91766-5222
Phone (626) 919-4333

9191 Westminster Ave
Garden Grove, CA 92844-2751
Phone (714) 899-2000

Hospital & facility affiliations

  • Montclair Hospital Medical Center Hospital, Montclair, CA, CCN 050758
  • San Dimas Community Hospital Hospital, San Dimas, CA, CCN 050588

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A205793CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dao Medical Group Inc Family Medicine CurrentSince Mar 22, 2025 Accepting new patients

Locations

9191 Westminster Ave
Ste 205
Garden Grove, CA 92844

9191 Westminster Ave
Ste 204
Garden Grove, CA 92844

9191 Westminster Ave
Garden Grove, CA 92844
Phone (714) 583-6320

Interoperability endpoints

  • FHIR API: https://fhir.healthtogo.me/fhir/r4/universalehr.dmg

Organizations & group practices 1

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 2

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": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1053013771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16444 EVEREST CIR",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081849",
            "telephone_number": "714-598-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 WALNUT AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102609",
            "telephone_number": "094-648-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KIM",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A205793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.