Individual provider Active NPI

Anh Huu Nguyen, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1215920046
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A 32893 Issued in CA
Practice address
2411 N Broadway
Los Angeles, CA 90031-2218
Phone
(323) 987-2000
Fax
(323) 987-1448
NPI assigned
Aug 26, 2005
Last updated
Dec 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A 32893 CA Primary

Addresses

Primary practice location

2411 N Broadway
Los Angeles, CA 90031-2218

Mailing address

6000 N Figueroa St
A
Los Angeles, CA 90042-4232
Phone (323) 254-5221

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
I20050131001077 CA Practitioner - Family Practice 3375593924 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arroyo Vista Family Health Foundation CurrentSince Dec 31, 2009 Accepting new patients
Arroyo Vista Family Health Foundation CurrentSince Dec 31, 2009 Accepting new patients
Access Doctor Care Medical Clinic PastSince Jan 1, 2005 Accepting new patients
Casey Fu Past Accepting new patients
Oc Family Medical Group, Inc. Family Medicine Past Accepting new patients

Locations

2411 N Broadway
Los Angeles, CA 90031
Phone (323) 254-5291

6000 N Figueroa St
Los Angeles, CA 90042
Phone (323) 254-5221

6000 N Figueroa St
#A
Los Angeles, CA 90042

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1215920046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 N FIGUEROA ST",
            "address_2": "A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424232",
            "telephone_number": "323-254-5221",
            "fax_number": "323-254-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312218",
            "telephone_number": "323-987-2000",
            "fax_number": "323-987-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANH",
        "middle_name": "HUU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A 32893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.