Individual provider Active NPI

Paul Nguyen, D.O.

  • Surgery Physician
  • Santa Cruz, CA
National Provider Identifier
1184911968
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20A14554 Issued in CA
Practice address
1668 Dominican Way
Santa Cruz, CA 95065-1522
Phone
(831) 464-9962
Fax
(831) 464-9933
NPI assigned
Jun 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101019363 MI
Surgery Physician 208600000X 20A14554 CA Primary

Addresses

Primary practice location

1668 Dominican Way
Santa Cruz, CA 95065-1522

Mailing address

1668 Dominican Way
Santa Cruz, CA 95065-1522
Phone (831) 464-9962

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
I20160713000776 CA Practitioner - General Surgery 1759670714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Associates of Monterey Bay Medical CorporationGroup PAC ID 4688577406, 6 clinicians

Practice addresses (Care Compare)

1668 Dominican Way
Santa Cruz, CA 95065-1522
Phone (831) 464-9962

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.48 of 100Reported as individual
Quality
76.02
Promoting interoperability
82
Improvement activities
40
Cost
97.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy66
Hernia repair - groin (open)23
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A14554CAMDSurgery Physician
5101019363MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Associates of Monterey Bay Medical Corporation Surgery CurrentSince Aug 1, 2016 Accepting new patients
Dignity Health Past Accepting new patients

Locations

1668 Dominican Way
Santa Cruz, CA 95065
Phone (831) 464-9962

75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741

Interoperability endpoints

  • Direct secure messaging: paul.nguyen.1@4301.direct.athenahealth.com
  • Direct secure messaging: pnguye17@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/4301/brand/1/csg/1/fhir/r4

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.

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": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1184911968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 DOMINICAN WAY",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651522",
            "telephone_number": "831-464-9962",
            "fax_number": "831-464-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 DOMINICAN WAY",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651522",
            "telephone_number": "831-464-9962",
            "fax_number": "831-464-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PAUL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101019363",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A14554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.