Individual provider Active NPI

Thu Ngoc Nguyen, MD

  • Family Medicine Physician
  • Aliso Viejo, CA
National Provider Identifier
1114422888
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A164654 Issued in CA
Practice address
26671 Aliso Creek Rd Ste 101
Aliso Viejo, CA 92656-4807
Phone
(949) 791-3107
Fax
(949) 791-3184
NPI assigned
Mar 26, 2018
Last updated
Apr 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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
Family Medicine Physician 207Q00000X A164654 CA Primary

Addresses

Primary practice location

26671 Aliso Creek Rd Ste 101
Aliso Viejo, CA 92656-4807

Mailing address

26671 Aliso Creek Rd Ste 101
Aliso Viejo, CA 92656-4807
Phone (949) 791-3107

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group
FHIR URL https://memorialcare.org/fhir/api/FHIR/R4/ Health Information Exchange (HIE) MemorialCare Medical Foundation

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
I20200911002817 CA Practitioner - Family Practice 6406274117 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HMTS IncGroup PAC ID 1951750413, 118 clinicians

Practice addresses (Care Compare)

19582 Beach Blvd
Suite 180
Huntington Beach, CA 92648-5978
Phone (714) 477-8050

26671 Aliso Creek Rd
Suite 101
Aliso Viejo, CA 92656-4807
Phone (949) 791-3107

5341 Warner Ave
Huntington Beach, CA 92649-4078
Phone (714) 477-8450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.87 of 100Reported as group
Quality
84.39
Promoting interoperability
100
Improvement activities
40
Cost
68.52

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
84.12
Promoting interoperability
100
Improvement activities
40
Cost
74.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A164654CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorialcare Medical Foundation Family Medicine CurrentSince Jan 9, 2022 Accepting new patients
HMTS, Inc Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Feb 1, 2023 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Feb 1, 2023 Accepting new patients
Hoag Clinic CurrentSince May 15, 2023 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Hoag Hospital Past Accepting new patients

Locations

26671 Aliso Creek Rd
Ste 101
Aliso Viejo, CA 92656
Phone (949) 360-0330

26671 Aliso Creek Rd
Ste 202
Aliso Viejo, CA 92656
Phone (949) 791-3105

212 Coffee Rd
Bakersfield, CA 93309
Phone (661) 829-6937

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 829-6741

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

32860 Pacific Coast Hwy
Ste 24
Dana Point, CA 92629
Phone (949) 441-2922

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

14150 Culver Dr
Ste 100
Irvine, CA 92604
Phone (949) 552-4584

1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1114422888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26671 ALISO CREEK RD STE 101",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564807",
            "telephone_number": "949-791-3107",
            "fax_number": "949-791-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26671 ALISO CREEK RD STE 101",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564807",
            "telephone_number": "949-791-3107",
            "fax_number": "949-791-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THU",
        "middle_name": "NGOC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A164654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "43112 15th St W",
            "city": "Lancaster",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935346219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://memorialcare.org/fhir/api/FHIR/R4/",
            "affiliation": "Y",
            "endpointDescription": "MemorialCare FHIR EndPoint",
            "affiliationName": "MemorialCare Medical Foundation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "17360 Brookhurst St",
            "city": "Fountain Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927083720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

Verify at the official NPI Registry.