Individual provider Active NPI

Thuy Dung Thi Nguyen, PA

  • Physician Assistant
  • Modesto, CA
National Provider Identifier
1225717705
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
63476 Issued in CA
Practice address
1510 Florida Ave Ste a
Modesto, CA 95350-4437
Phone
(209) 722-4842
NPI assigned
Jul 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 63476 CA Primary
Medical Physician Assistant 363AM0700X 63476 CA

Addresses

Primary practice location

1510 Florida Ave Ste a
Modesto, CA 95350-4437

Mailing address

737 W Childs Ave
Merced, CA 95341-6805
Phone (209) 722-4842

Other practice location 1

797 W Childs Ave
Merced, CA 95341-6805
Phone (209) 722-4842

Other practice location 2

3940 Sandpiper Ave
Merced, CA 95340-8372
Phone (209) 722-4842

Other practice location 3

847 W Childs Ave Ste C
Merced, CA 95341-6862
Phone (209) 722-4842

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231103002224 CA Practitioner - Physician Assistant 5991152548 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5 Hutton Centre Dr
Suite 950
Santa Ana, CA 92707-8786

Hospital & facility affiliations

  • Sky Healthcare Home Health Services Home health agency, Pleasanton, CA, CCN 559446
  • Global Healthcare Services, LLC Home health agency, Modesto, CA, CCN 059210
  • Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118
  • Methodist Hospital of Sacramento Hospital, Sacramento, CA, CCN 050590

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
63476CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Doc Integrated Med, PC CurrentSince Jan 5, 2026 Accepting new patients
Cep America - California CurrentSince Nov 20, 2023 Accepting new patients
J M Geiss DO Apc CurrentSince Jan 5, 2026 Accepting new patients
Golden Valley Health Centers CurrentSince Oct 10, 2023 Accepting new patients
Cep America - California CurrentSince Nov 20, 2023 Accepting new patients
Golden Valley Health Centers CurrentSince Oct 10, 2023 Accepting new patients
Golden Valley Health Center Past Accepting new patients

Locations (25 of 26)

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

847 W Childs Ave
Ste C
Merced, CA 95341

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

737 W Childs Ave
Merced, CA 95341
Phone (209) 383-1848

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

1510 Florida Ave
Ste A
Modesto, CA 95350
Phone (209) 492-7150

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1225717705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416805",
            "telephone_number": "209-722-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 FLORIDA AVE STE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504437",
            "telephone_number": "209-722-4842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "797 W Childs Ave",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953416805",
            "country_code": "US",
            "telephone_number": "209-722-4842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3940 Sandpiper Ave",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953408372",
            "country_code": "US",
            "telephone_number": "209-722-4842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "847 W Childs Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953416862",
            "country_code": "US",
            "telephone_number": "209-722-4842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THUY DUNG",
        "middle_name": "THI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "63476",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "63476",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.