Individual provider Active NPI

Myngoc Thi Nguyen, MD

  • Allergy & Immunology Physician
  • Berkeley, CA
National Provider Identifier
1194803965
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
G50040 Issued in CA
Practice address
3010 Colby St Ste 118
Berkeley, CA 94705-2059
Phone
(510) 644-2316
Fax
(510) 704-8346
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X G50040 CA Primary

Addresses

Primary practice location

3010 Colby St Ste 118
Berkeley, CA 94705-2059

Mailing address

275 W Macarthur
Oakland, CA 94611-5641
Phone (510) 752-1000

Other identifiers 1

IdentifierTypeStateIssuer
00G500400MedicaidCA

Other names 1

  • Dr. Myngoc Thi Nguyen Professional name

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
I20110202000102 CA Practitioner - Allergy/Immunology 3678753084 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of California, San Diego School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
La Clinica de la Raza IncGroup PAC ID 1557258282, 130 clinicians
Allergy and Asthma Medical Group of the Bay Area IncGroup PAC ID 6507758224, 20 clinicians

Practice addresses (Care Compare)

1030 International Blvd
Oakland, CA 94606-3730
Phone (510) 238-5400

370 N Wiget LN
Suite 210
Walnut Creek, CA 94598-2452
Phone (925) 935-6252

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as group
Quality
99.17
Promoting interoperability
98
Improvement activities
40
Cost
55.67

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Dec 29, 2021 Accepting new patients
La Clinica de la Raza Inc CurrentSince May 25, 2022 Accepting new patients
Permanente Medical Group Inc CurrentSince Nov 11, 2010 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 29, 2021 Accepting new patients
Allergy & Asthma Medical Group of the Bay Area Inc Allergy & Immunology CurrentSince Jun 1, 2023 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
La Clinica de la Raza Inc Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Nov 11, 2010 Accepting new patients
La Clinica de la Raza Inc CurrentSince May 25, 2022 Accepting new patients
La Clinica de la Raza, Inc. Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients

Locations

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

411 N Lakeview Ave
Anaheim, CA 92807
Phone (714) 279-4000

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

3010 Colby St
Ste 118
Berkeley, CA 94705
Phone (510) 486-0818

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

3451 E 12th St
Oakland, CA 94601
Phone (510) 535-3319

3801 Howe St
Oakland, CA 94611
Phone (510) 752-1190

1030 International Blvd
Oakland, CA 94606
Phone (510) 238-5400

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

275 W MacArthur Blvd
Piedmont, CA 94611
Phone (510) 752-1375

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

2305 Camino Ramon
Ste 225
San Ramon, CA 94583
Phone (925) 327-1450

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

370 N Wiget Ln
Ste 210
Walnut Creek, CA 94598
Phone (925) 935-0856

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Interoperability endpoints

  • Direct secure messaging: mnguyen162741@ehr.johnmuirhealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1194803965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W MACARTHUR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115641",
            "telephone_number": "510-752-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 COLBY ST STE 118",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052059",
            "telephone_number": "510-644-2316",
            "fax_number": "510-704-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MYNGOC",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G50040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G500400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYNGOC",
            "last_name": "NGUYEN",
            "middle_name": "THI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.