Individual provider Active NPI

Michelle-Linh Nguyen, MD

  • Internal Medicine Physician
  • Grass Valley, CA
National Provider Identifier
1114447596
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A169414 Issued in CA
Practice address
101 W. McKnight Way Ste B
#260
Grass Valley, CA 95949-9613
Phone
(530) 552-1039
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A169414 CA Primary

Addresses

Primary practice location

101 W. McKnight Way Ste B
#260
Grass Valley, CA 95949-9613

Mailing address

101 W. McKnight Way Ste B
#260
Grass Valley, CA 95949-9613
Phone (530) 552-1039

Other names 1

  • Michelle Nguyen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 27, 2025 through Jun 27, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A169414CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1114447596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W. MCKNIGHT WAY STE B",
            "address_2": "#260",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959499613",
            "telephone_number": "530-552-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W. MCKNIGHT WAY STE B",
            "address_2": "#260",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959499613",
            "telephone_number": "530-552-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MICHELLE-LINH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A169414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "NGUYEN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.