Individual provider Active NPI

Ken Duong Nguyen, M.D.

  • Gastroenterology Physician
  • Temple City, CA
National Provider Identifier
1205193828
Registry record updated Nov 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A127222 Issued in CA
Practice address
6271 Rosemead Blvd
Temple City, CA 91780-1562
Phone
(626) 898-4560
Fax
(626) 898-4561
NPI assigned
Apr 20, 2012
Last updated
Nov 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A127222 CA Primary
Hepatology Physician 207RI0008X A127222 CA

Addresses

Primary practice location

6271 Rosemead Blvd
Temple City, CA 91780-1562

Mailing address

6271 Rosemead Blvd
Temple City, CA 91780-1562
Phone (626) 898-4560

Other practice location 1

1828 E Cesar E Chavez Ave Ste 6200
Los Angeles, CA 90033-2585
Phone (213) 328-0819

Other names 1

  • Khang Duong Nguyen Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address insite-sangabriel@directaddress.net Direct

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
I20140906000014 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 2062644487 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Boston University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

207 S Santa Anita St
Suite P15
San Gabriel, CA 91776-1165
Phone (626) 898-4560

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy150
Upper gastrointestinal (GI) endoscopy for acid reflux127
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A127222CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ken D. Nguyen, M.D., Inc. Gastroenterology CurrentSince Feb 8, 2023 Accepting new patients
Ridgecrest Regional Hospital CurrentSince Apr 1, 2023 Accepting new patients
Ridgecrest Regional Hospital Current Accepting new patients
Genesis Healthcare Partners PC CurrentSince Oct 1, 2022 Accepting new patients
Dr. Tran Medical Office, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Skyline Urology Current Accepting new patients
Urology Institute of the South Bay Current Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients

Locations

9850 Genesee Ave
Ste 440
La Jolla, CA 92037
Phone (858) 453-5944

1828 E Cesar E Chavez Ave
Ste 6200
Los Angeles, CA 90033
Phone (213) 328-0819

709 N Hill St
Ste 18
Los Angeles, CA 90012
Phone (213) 687-0888

50 Alessandro Pl
Ste 410
Pasadena, CA 91105
Phone (626) 793-7114

1041 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0121

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

1111 N China Lake Blvd
#220
Ridgecrest, CA 93555
Phone (760) 446-8100

7900 Garvey Ave
Rosemead, CA 91770
Phone (626) 307-1050

207 S Santa Anita St
Ste P15
San Gabriel, CA 91776
Phone (626) 390-6405

6271 Rosemead Blvd
Temple City, CA 91780
Phone (626) 898-4560

23600 Telo Ave
Ste 220
Torrance, CA 90505
Phone (310) 534-8400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: insite-sangabriel@directaddress.net
  • Direct secure messaging: ken.nguyen.1@3663.direct.athenahealth.com

Organizations & group practices 10

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 1

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": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700697600000",
    "number": "1205193828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6271 ROSEMEAD BLVD",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917801562",
            "telephone_number": "626-898-4560",
            "fax_number": "626-898-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6271 ROSEMEAD BLVD",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917801562",
            "telephone_number": "626-898-4560",
            "fax_number": "626-898-4561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1828 E Cesar E Chavez Ave Ste 6200",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900332585",
            "country_code": "US",
            "telephone_number": "213-328-0819",
            "fax_number": "844-407-0584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KEN",
        "middle_name": "DUONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-20",
        "last_updated": "2023-11-23",
        "certification_date": "2023-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A127222",
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "CA",
            "license": "A127222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "insite-sangabriel@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "gMed Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "207 S Santa Anita St Ste P15",
            "city": "San Gabriel",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917761165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KHANG",
            "last_name": "NGUYEN",
            "middle_name": "DUONG",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temple City, CA

Sources for this page

Verify at the official NPI Registry.