Kim-Thy Hoang Nguyen, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A22086 Issued in CA

Practice address

5901 Green Valley Cir Ste 405
Culver City, CA 90230-6971

Phone

(424) 266-7474

NPI assigned

Jun 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

The Achievable FoundationGroup PAC ID 0143473058, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73523

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.

• The Achievable Foundation

  • Federally Qualified Health Center (FQHC)
  • Culver City, CA
  • NPI 1164771747
  Medicare reassignment Care Compare group NPD
• The Achievable Foundation

  • Federally Qualified Health Center (FQHC)
  • Culver City, CA
  • NPI 1891593778
  NPD

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1053040709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CORPORATE POINTE STE 270",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902308735",
            "telephone_number": "424-266-7472",
            "fax_number": "310-596-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 GREEN VALLEY CIR STE 405",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306971",
            "telephone_number": "424-266-7474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Corporate Pointe Ste 50",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902308726",
            "country_code": "US",
            "telephone_number": "424-266-7474",
            "fax_number": "310-596-8268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KIM-THY",
        "middle_name": "HOANG",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A22086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cao Truc Quynh Nguyen
• Clemence Nguyen, CMT
• Diem Chau Nguyen, MD
• Hao The Nguyen, BS
• Jordan Duy Nguyen
• Kimmie Nguyen, MPH, CMPSS
• Linh Phoung Nguyen
• Megan N Nguyen, RPH
• Thao Nguyen, PHARMD
• Tonia Mailyn Nguyen

• Family Medicine Physician in Culver City, CA
• Providers in Culver City, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.