Individual provider Active NPI

Henry Nguyen, D.O., D.D.S

  • Family Medicine Physician
  • Westminster, CA
National Provider Identifier
1184989170
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A19674 Issued in CA
Practice address
15464 Goldenwest St
Westminster, CA 92683-6149
Phone
(714) 891-9008
Fax
(714) 897-7949
NPI assigned
Jul 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 62270 CA
Dentist 122300000X 08910 IA
Family Medicine Physician 207Q00000X 20A19674 CA Primary

Addresses

Primary practice location

15464 Goldenwest St
Westminster, CA 92683-6149

Mailing address

15464 Goldenwest St
Westminster, CA 92683-6149
Phone (714) 891-9008

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20220811003179 CA Practitioner - Family Practice 2264815018 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un Col of Osteopathic Medicine, New York, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

1120 W Washington Blvd
Suite 100
Los Angeles, CA 90015-3316
Phone (213) 729-0078

11560 W Pico Blvd
Los Angeles, CA 90064-1520
Phone (310) 477-8285

1365 S Grand Ave
Glendora, CA 91740-5047
Phone (626) 385-1456

14743 Ventura Blvd
Suite 100
Sherman Oaks, CA 91403-3641
Phone (818) 647-6850

16818 Hawthorne Blvd
Lawndale, CA 90260-3218
Phone (310) 542-0800

18700 Ventura Blvd
Suite 220
Tarzana, CA 91356-6317
Phone (747) 307-3323

2006 Lincoln Blvd
Venice, CA 90291-3949
Phone (310) 396-2273

2090 Westwood Blvd
Los Angeles, CA 90025-6329
Phone (213) 814-4070

2100 S Euclid St
Suite 102
Anaheim, CA 92802-4572
Phone (714) 644-9100

2300 Wilshire Blvd
Suite 104
Santa Monica, CA 90403-5863
Phone (424) 416-7900

235 E 17TH St
Costa Mesa, CA 92627-3831
Phone (949) 688-2010

242 S Robertson Blvd
Beverly Hills, CA 90211-2811
Phone (310) 652-2300

2613 Pacific Coast Hwy
Torrance, CA 90505-7037
Phone (424) 625-0220

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

28900 S Western Ave
Rancho Palos Verdes, CA 90275-0805
Phone (424) 702-0500

2968 E Florence Ave
Huntington Park, CA 90255-5826
Phone (323) 522-9500

3932 Long Beach Blvd
Suite a
Long Beach, CA 90807-2615
Phone (562) 855-2800

395 Silver Spur Rd
Rolling Hills Estates, CA 90274-3569
Phone (424) 323-3500

4121 Santa Monica Blvd
Suite 103
Los Angeles, CA 90029-2270
Phone (213) 335-7355

420 W Rowland St
Suite 101
Covina, CA 91723-2943
Phone (626) 412-2614

4200 E Pacific Coast
Suite 102
Long Beach, CA 90804-2107
Phone (562) 661-9100

424 W Broadway
Glendale, CA 91204-1209
Phone (818) 796-5396

4623 Eagle Rock Blvd
Los Angeles, CA 90041-3049
Phone (213) 878-5700

4730 Lincoln Blvd
Marina del Rey, CA 90292-6902
Phone (424) 352-0371

5101 Lakewood Blvd
Lakewood, CA 90712-2413
Phone (562) 800-3883

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19674CAMDClinical Social Worker
08910IAMDDentist
62270CAMDDental Assistant
20A19674CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Sep 4, 2023 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Chest and Critical Care Consultants CurrentSince Apr 1, 2025 Accepting new patients
Exer Medical Corporation CurrentSince Apr 1, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 4, 2023 Accepting new patients
Memorialcare Medical Foundation Family Medicine CurrentSince Aug 20, 2022 Accepting new patients
Chest and Critical Care Consultants a Medical Group CurrentSince Apr 1, 2025 Accepting new patients
Bristol Park Medical Group, Inc Family Medicine Past Accepting new patients
Ame Medical Group Inc Family Medicine PastSince Jan 1, 2016 Accepting new patients

Locations

1211 W La Palma Ave
Ste 709
Anaheim, CA 92801
Phone (714) 808-9292

1211 W La Palma Ave
Ste 404
Anaheim, CA 92801
Phone (714) 772-1030

9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3340

9400 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-6064

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

9333 Imperial Hwy
Downey, CA 90242
Phone (562) 657-8850

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

13522 Newport Ave
Ste 102
Tustin, CA 92780
Phone (714) 573-8200

15464 Goldenwest St
Westminster, CA 92683
Phone (714) 891-9008

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1184989170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15464 GOLDENWEST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836149",
            "telephone_number": "714-891-9008",
            "fax_number": "714-897-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15464 GOLDENWEST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836149",
            "telephone_number": "714-891-9008",
            "fax_number": "714-897-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "D.O., D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2023-10-27",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62270",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08910",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A19674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9333 Imperial Hwy",
            "city": "Downey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902422812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.