Bao Thai Nguyen, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

252803-2 Issued in NY

Practice address

555 Pier Ave
Suite #1
Hermosa Beach, CA 90254-3839

Phone

(424) 488-0500

Fax

(424) 488-0498

NPI assigned

Oct 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Pain ManagementAlso: Physical Medicine and Rehabilitation

Education

Rush Medical College of Rush University, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

University Spine and Pain Center IncGroup PAC ID 6507096781, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• University Spine and Pain Center Inc

  • Physical Medicine & Rehabilitation Physician
  • Hermosa Beach, CA
  • NPI 1295162808
  Medicare reassignment Care Compare group NPD Authorized official
• University Spine & Pain Center

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hermosa Beach, CA
  • NPI 1922435411
  NPD Authorized official
• Spine and Pain Center Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hermosa Beach, CA
  • NPI 1679100622
  NPD (past)
• Torrance Memorial Medical Center

  • Skilled Nursing Facility
  • Torrance, CA
  • NPI 1740268713
  NPD (past)
• University of California Irvine

  • General Acute Care Hospital
  • Placentia, CA
  • NPI 1700817756
  NPD (past)
• All Neurological Services PC

  • Legal Medicine
  • Brooklyn, NY
  • NPI 1881711596
  NPD (past)
• Arikostadaras,M.D.,P.C.

  • Specialist
  • Astoria, NY
  • NPI 1679710115
  NPD (past)
• Beth Israel Medical Center

  • Clinical Medical Laboratory
  • Suite 12S34, NY
  • NPI 1699798934
  NPD (past)
• SK Neurology PC

  • Neurology Physician
  • Brooklyn, NY
  • NPI 1578108635
  NPD (past)
• University Orthopedics of New York PLLC

  • Orthopaedic Surgery Physician
  • Astoria, NY
  • NPI 1588654636
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Torrance Memorial Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1467459776
  Care Compare affiliation

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1194913756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PIER AVE",
            "address_2": "SUITE #1",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543839",
            "telephone_number": "424-488-0500",
            "fax_number": "424-488-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PIER AVE",
            "address_2": "SUITE #1",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543839",
            "telephone_number": "424-488-0500",
            "fax_number": "424-488-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BAO",
        "middle_name": "THAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A95636",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "252803-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194913756",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Neff
• Natacha D Nelson, D.C.
• Sean Nestor
• Lisa Daneen Newman
• Naomi Ngo
• Leah Mary Niehaus, LCSW
• Spencer Nieves
• Janice Nishiyama, PSY.D.
• Adrienne Norquist, MSN, ACNP-BC
• Mary Ann Notari, MFT

• Physical Medicine & Rehabilitation Physician in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.