Individual provider Active NPI

Christine Uyen Nguyen, M.D.

  • Internal Medicine Physician
  • Menifee, CA
National Provider Identifier
1114947405
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A64451 Issued in CA
Practice address
29798 Haun Rd
Ste 104
Menifee, CA 92586-6541
Phone
(951) 301-9339
Fax
(951) 301-3980
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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 A64451 CA Primary

Addresses

Primary practice location

29798 Haun Rd
Ste 104
Menifee, CA 92586-6541

Mailing address

29798 Haun Rd
Ste 104
Menifee, CA 92586-6541
Phone (951) 301-9339

Other names 1

  • Christine U Nguyen Other name

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
I20100519000527 CA Practitioner - Internal Medicine 2860521549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Geffen School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brian L Nguyen MD IncGroup PAC ID 9032291968, 3 clinicians

Practice addresses (Care Compare)

29798 Haun Rd
Suite 108
Sun City, CA 92586-6541
Phone (951) 301-9339

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A64451CAMDInternal Medicine Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJCABA/Endpoint/GJCABA

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1114947405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29798 HAUN RD",
            "address_2": "STE 104",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866541",
            "telephone_number": "951-301-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29798 HAUN RD",
            "address_2": "STE 104",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866541",
            "telephone_number": "951-301-9339",
            "fax_number": "951-301-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHRISTINE",
        "middle_name": "UYEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A64451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "NGUYEN",
            "middle_name": "U",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Menifee, CA

Sources for this page

Verify at the official NPI Registry.