NPIMap

Individual provider Active NPI

Klemens Nguyen Huynh, M.D.

  • Nephrology Physician
  • Highland, CA
National Provider Identifier
1184652935
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A69249 Issued in CA
Practice address
7223 Church St
Suite a-20
Highland, CA 92346-5869
Phone
(909) 882-0702
Fax
(909) 886-6704
NPI assigned
Jun 29, 2006
Last updated
Oct 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A69249 CA Primary

Addresses

Primary practice location

7223 Church St
Suite a-20
Highland, CA 92346-5869

Mailing address

7223 Church St
Suite a-20
Highland, CA 92346-5869
Phone (909) 882-0702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623000754 CA Practitioner - NephrologyPractitioner - Internal Medicine 4789669698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of California, Geffen School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates Medical Group IncGroup PAC ID 5092604447, 64 clinicians

Practice addresses (Care Compare)

3660 Park Sierra Dr
Riverside, CA 92505-3071
Phone (951) 687-2800

7223 Church St
Suite A20
Highland, CA 92346-5812
Phone (909) 882-0702

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A69249CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates Medical Group Inc Nephrology CurrentSince Feb 2, 2021 Accepting new patients
Redlands Community Hospital Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Qazi Medical Group, Inc. Past Accepting new patients
San Gorgonio Memorial Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients

Locations

264 N Highland Springs Ave
Ste 3B
Banning, CA 92220
Phone (951) 769-9776

7223 Church St
Ste A20
Highland, CA 92346
Phone (909) 381-3900

3660 Park Sierra Dr
Ste 208
Riverside, CA 92505
Phone (951) 687-2800

4100 Latham St
Ste A
Riverside, CA 92501
Phone (951) 248-1291

401 E Highland Ave
Ste 551
Sn Bernrdno, CA 92404
Phone (909) 882-1759

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: klemens.huynh.1@19859.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Redlands Community HospitalRedlands, CA, CCN 050272 Hospital Corporate Director Jan 1, 2022
Redlands Community HospitalRedlands, CA, CCN 555642 Skilled nursing facility Corporate Director Jan 1, 2022
Redlands Community Hospital Home Health Care ServicesRedlands, CA, CCN 057494 Home health agency Corporate Director Jan 1, 2022
Redlands Community HospitalRedlands, CA, CCN 051534 Hospice Corporate Director Jan 1, 2022

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1184652935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7223 CHURCH ST",
            "address_2": "SUITE A-20",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923465869",
            "telephone_number": "909-882-0702",
            "fax_number": "909-886-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7223 CHURCH ST",
            "address_2": "SUITE A-20",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923465869",
            "telephone_number": "909-882-0702",
            "fax_number": "909-886-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "KLEMENS",
        "middle_name": "NGUYEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A69249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, CA

Sources for this page

Verify at the official NPI Registry.