Individual provider Active NPI

Anthony Nguyen, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Diego, CA
National Provider Identifier
1174186308
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5894 Issued in CA
Practice address
3633 Camino del Rio S Ste 300
San Diego, CA 92108-4014
Phone
(619) 287-9730
Fax
(619) 287-4516
NPI assigned
Apr 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5894 CA Primary

Addresses

Primary practice location

3633 Camino del Rio S Ste 300
San Diego, CA 92108-4014

Mailing address

3633 Camino del Rio S Ste 300
San Diego, CA 92108-4014

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221115002832 CA Practitioner - Podiatry 6709254188 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morrison Multi-Specialties Companies IncGroup PAC ID 6002244506, 5 clinicians

Practice addresses (Care Compare)

3633 Camino del Rio S
Suite 300
San Diego, CA 92108-4014
Phone (619) 287-9730

Hospital & facility affiliations

  • El Centro Regional Medical Center Hospital, El Centro, CA, CCN 050045

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of nail tissue70
Removal or shaving of skin growth55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5894CAMDCounselor
E5894CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Norris Morrison DPM Inc CurrentSince Jun 1, 2024 Accepting new patients
Foot & Wound Care of Indio CurrentSince Nov 1, 2024 Accepting new patients
Morrison Multi-Specialties Companies Inc CurrentSince Aug 15, 2022 Accepting new patients
High Desert Limb Salvage Institute Podiatrist Corp Foot & Ankle Surgery CurrentSince Jul 6, 2026 Accepting new patients

Locations

18523 Corwin Rd
Ste B
Apple Valley, CA 92307
Phone (619) 287-9730

525 Melissa Ave
Ste A
Barstow, CA 92311
Phone (760) 255-2400

1881 California Ave
Ste 102
Corona, CA 92881
Phone (760) 610-8398

441 W State St
El Centro, CA 92243
Phone (760) 337-2949

82013 Doctor Carreon Blvd
Ste H
Indio, CA 92201
Phone (760) 200-9909

2234 S Euclid Ave
Ste E
Ontario, CA 91762
Phone (760) 496-5180

99 Business Park Dr
Perris, CA 92571
Phone (619) 287-9730

1384 N Waterman Ave
San Bernardino, CA 92404
Phone (760) 496-5180

3633 Camino del Rio S
Ste 300
San Diego, CA 92108
Phone (619) 287-0404

Interoperability endpoints

  • Direct secure messaging: anthony.nguyen.4@10718.direct.athenahealth.com
  • Direct secure messaging: anthony.nguyen.2@10718.direct.athenahealth.com
  • Direct secure messaging: anthony.nguyen.3@10718.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10718/brand/3/csg/1/fhir/r4
  • Direct secure messaging: anthony.nguyen.1@10718.direct.athenahealth.com

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 1

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": "1555200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1174186308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 CAMINO DEL RIO S STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 CAMINO DEL RIO S STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084014",
            "telephone_number": "619-287-9730",
            "fax_number": "619-287-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-14",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.