Individual provider Active NPI

Hoang Nguyen, M.D

  • Family Medicine Physician
  • West Hills, CA
National Provider Identifier
1124011952
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A 60675 Issued in CA
Practice address
22110 Roscoe Blvd Ste 100
West Hills, CA 91304-3875
Phone
(818) 481-0118
Fax
(818) 584-8926
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A 60675 CA Primary

Addresses

Primary practice location

22110 Roscoe Blvd Ste 100
West Hills, CA 91304-3875

Mailing address

22110 Roscoe Blvd Ste 100
West Hills, CA 91304-3875
Phone (818) 481-0118

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
I20040601001140 CA Practitioner - Family Practice 1951383397 Practice locations: Canoga Park, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22110 Roscoe Blvd
Suite 100
West Hills, CA 91304-3875
Phone (818) 481-0118

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hoang Duc Nguyen, M.D., Inc. CurrentSince Dec 29, 2024 Accepting new patients
White Memorial Medical Center PastSince Dec 29, 2024 Accepting new patients

Locations

22110 Roscoe Blvd
Ste 100
West Hills, CA 91304
Phone (818) 481-0118

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1124011952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD STE 100",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913043875",
            "telephone_number": "818-481-0118",
            "fax_number": "818-584-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD STE 100",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913043875",
            "telephone_number": "818-481-0118",
            "fax_number": "818-584-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HOANG",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A 60675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.