Individual provider Active NPI

Khang Nguyen, PA

  • Physician Assistant
  • Yuma, AZ
National Provider Identifier
1134634181
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7292 Issued in AZ
Practice address
12447 S Sandra Ave
Yuma, AZ 85367-6020
Phone
(912) 247-6251
NPI assigned
Dec 12, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 7292 AZ Primary

Addresses

Primary practice location

12447 S Sandra Ave
Yuma, AZ 85367-6020

Mailing address

12447 S Sandra Ave
Yuma, AZ 85367-6020
Phone (912) 247-6251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180628002339 GA Practitioner - Physician Assistant 1759637069 Reassigns benefits to 1 organization
I20251009002144 AZ Practitioner - Physician Assistant 1759637069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unitys Psychiatry PLLCGroup PAC ID 4688171127, 2 clinicians

Practice addresses (Care Compare)

12447 S Sandra Ave
Yuma, AZ 85367-6020
Phone (928) 323-8003

Hospital & facility affiliations

  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013
  • Yuma Nursing Center Nursing home, Yuma, AZ, CCN 035152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
008627GAMDMental Health Counselor
7292AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Unitys Psychiatry PLLC Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Houston County Emergency Group, LLC Single Specialty CurrentSince Jan 5, 2018 Accepting new patients
Yuma Nursing Center 2 Inc Past Accepting new patients

Locations

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1134634181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12447 S SANDRA AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853676020",
            "telephone_number": "912-247-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12447 S SANDRA AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853676020",
            "telephone_number": "912-247-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHANG",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-12",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.