Individual provider Active NPI

Hoang-Kim Nguyen

  • Behavior Analyst
  • Concord, CA
National Provider Identifier
1093285520
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BCBA-1-25-79222 Issued in CA
Practice address
1200 Concord Ave Ste 185
Concord, CA 94520-5006
Phone
(877) 910-6538
NPI assigned
Nov 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Technician 106S00000X
Behavior Analyst 103K00000X BCBA-1-25-79222 CA Primary

Addresses

Primary practice location

1200 Concord Ave Ste 185
Concord, CA 94520-5006

Mailing address

1200 Concord Ave Ste 185
Concord, CA 94520-5006
Phone (916) 357-5837

Other practice location 1

601 University Ave Ste 175
Sacramento, CA 95825-6739
Phone (888) 428-3223

Other practice location 2

1106 Windfield Way
El Dorado Hills, CA 95762-9360
Phone (916) 357-5837

Other practice location 3

1106 Windfield Way
El Dorado Hills, CA 95762-9360
Phone (916) 357-5837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Montessori Autism Programs & Services, Inc. PastSince Jan 1, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1093285520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CONCORD AVE STE 185",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205006",
            "telephone_number": "916-357-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CONCORD AVE STE 185",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205006",
            "telephone_number": "877-910-6538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 University Ave Ste 175",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958256739",
            "country_code": "US",
            "telephone_number": "888-428-3223",
            "fax_number": "323-866-1881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 Windfield Way",
            "address_purpose": "LOCATION",
            "city": "El Dorado Hills",
            "state": "CA",
            "postal_code": "957629360",
            "country_code": "US",
            "telephone_number": "916-357-5837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 Windfield Way",
            "address_purpose": "LOCATION",
            "city": "El Dorado Hills",
            "state": "CA",
            "postal_code": "957629360",
            "country_code": "US",
            "telephone_number": "916-357-5837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HOANG-KIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "BCBA-1-25-79222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.