Active NPI
Thuy Dung Thi Nguyen, PA
- Physician Assistant
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 63476
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- Global Healthcare Services, LLC
- Doctors Hospital of Manteca
- Methodist Hospital of Sacramento
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63476 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Doc Integrated Med, PC | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| J M Geiss DO Apc | Current | Accepting new patients | |
| Golden Valley Health Centers | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Golden Valley Health Centers | Current | 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.
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1396526026
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Emergency Medicine Physician
- Santa Ana, CA
- NPI 1548667843
-
- Federally Qualified Health Center (FQHC)
- Turlock, CA
- NPI 1356445753
-
- Emergency Medicine Physician
- Glendora, CA
- NPI 1043684764
-
- Emergency Medicine Physician
- Carmichael, CA
- NPI 1780938704
-
- Community/Retail Pharmacy
- Merced, CA
- NPI 1093817405
-
- Federally Qualified Health Center (FQHC)
- Ceres, CA
- NPI 1902456726
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1063825289
-
- Federally Qualified Health Center (FQHC)
- Modesto, CA
- NPI 1487867503
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1467560599
-
- General Acute Care Hospital
- Manteca, CA
- NPI 1992736599
-
- Home Health Agency
- Modesto, CA
- NPI 1366572141
-
- Home Health Agency
- Elk Grove, CA
- NPI 1750892857
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.