Dominic Nguyen, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

20A7488 Issued in CA

Practice address

15910 Ventura Blvd
Suite 1502
Encino, CA 91436-2802

Phone

(818) 728-9877

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Anesthesiology

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coachella Valley Anesthesia a Professional CorporationGroup PAC ID 5698131969, 126 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Desert Valley Hospital Hospital, Victorville, CA, CCN 050709
• Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Coachella Valley Anesthesia a Professional Corporation

  • Anesthesiology Physician
  • Bakersfield, CA
  • NPI 1013662048
  Medicare reassignment Care Compare group NPD
• Landmark Anesthesia Medical Group

  • Anesthesiology Physician
  • Lynwood, CA
  • NPI 1770035024
  Medicare reassignment NPD
• Landmark Anesthesia Medical Group Prime

  • Anesthesiology Physician
  • Victorville, CA
  • NPI 1801430467
  Medicare reassignment
• Desert Valley Medical Group, Inc

  • Internal Medicine Physician
  • Victorville, CA
  • NPI 1952020315
  NPD (past)

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

• Bakersfield Memorial Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1467538520
  Care Compare affiliation
• Desert Valley Hospital, LLC

  • General Acute Care Hospital
  • Victorville, CA
  • NPI 1851396576
  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1205948312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15910 VENTURA BLVD",
            "address_2": "SUITE 1502",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362802",
            "telephone_number": "818-728-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15910 VENTURA BLVD",
            "address_2": "SUITE 1502",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362802",
            "telephone_number": "818-728-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DOMINIC",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A7488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX74880",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050091442",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimia Nezami, RD, PHARM.D.
• NGJ Anesthesia Group, Inc
• Angelita Ngo
• Nguyen Tabari Dental Inc
• Celeste A Nguyen, PH.D.
• Heather Catherine Nguyen
• Michael Ong Nguyen, MD
• Nhan Nguyen
• Sophie Nguyen
• Theresa Nguyen

• Anesthesiology Physician in Encino, CA
• Providers in Encino, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.