Baolong Viet Nguyen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15028 Issued in TX

Practice address

8601 Village Dr Ste 104
San Antonio, TX 78217-5509

Phone

(210) 942-4217

Fax

(830) 626-7110

NPI assigned

Aug 26, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alpesh D. Desai, DO, PAGroup PAC ID 8426055625, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: lnguyen@heightsderm.emadirect.md

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.

• Alpesh D. Desai, D.O. P.a.

  • Specialist
  • Houston, TX
  • NPI 1124078985

  TX

  Medicare reassignment Care Compare group
• Lone Star State Dermatology Clinic PLLC

  • Procedural Dermatology Physician
  • Live Oak, TX
  • NPI 1053723239

  TX

  Medicare reassignment
• Mark Garcia Dermatology PLLC

  • Procedural Dermatology Physician
  • Tulsa, OK
  • NPI 1588742969
  NPD (past)

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1124795299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 VILLAGE DR STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175509",
            "telephone_number": "210-942-4217",
            "fax_number": "210-538-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 VILLAGE DR STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175509",
            "telephone_number": "210-942-4217",
            "fax_number": "830-626-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BAOLONG",
        "middle_name": "VIET",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anhtuan Hoang Nguyen, MD
• Anna Nguyen, DMD
• Ariana Nguyen
• Bao Duc Nguyen
• Bao Ngoc Dinh Nguyen, MD
• Beverly Tran Nguyen
• Bichthuy Nguyen, D.D.S.
• Billy Viet Duy Nguyen
• Bobbie Romero Nguyen, APRN
• Brandon Nguyen

• All providers in San Antonio, TX
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.