Individual provider Active NPI

Trung T Nguyen, MD

  • Family Medicine Physician
  • Rolling Hills Estates, CA
National Provider Identifier
1235164096
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD40492 Issued in TN
Practice address
550 Deep Valley Dr Ste 319
Rolling Hills Estates, CA 90274-7604
Phone
(310) 544-6858
NPI assigned
Jul 11, 2006
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C159386 CA
Family Medicine Physician 207Q00000X MD40492 TN Primary

Addresses

Primary practice location

550 Deep Valley Dr Ste 319
Rolling Hills Estates, CA 90274-7604

Mailing address

PO Box 4019
Rolling Hills Estates, CA 90274-9552
Phone (310) 372-0123

Other practice location 1

1001 Capital Funds Ct
Nashville, TN 37217-3937
Phone (615) 361-6713

Other practice location 2

17822 Beach Blvd
Huntington Beach, CA 92647-7101
Phone (714) 409-3729

Other identifiers 1

IdentifierTypeStateIssuer
3000577MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070912000798 TN Practitioner - Family Practice 4789777368 Reassigns benefits to 1 organization
I20230419002912 CA Practitioner - Family Practice 4789777368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albion Medical Partners of California West P CGroup PAC ID 8921419813, 28 clinicians

Practice addresses (Care Compare)

12900 Park Plaza Dr
Suite 700
Cerritos, CA 90703-9329
Phone (562) 622-2800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD40492TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albion Medical Partners of California West P C CurrentSince May 1, 2023 Accepting new patients
Emergency Coverage, LLC Family Medicine CurrentSince Mar 1, 2008 Accepting new patients
White Memorial Medical Center Past Accepting new patients
HCA Health Services of Tennessee, Inc. Past Accepting new patients
Lawrence D Sher M D Inc PastSince Nov 20, 2022 Accepting new patients

Locations

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: trung.nguyen.1@32527.direct.athenahealth.com
  • Direct secure messaging: trung.nguyen.p1@direct.caremorewest.nextgenshare.com

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.

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1235164096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4019",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902749552",
            "telephone_number": "310-372-0123",
            "fax_number": "310-544-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 DEEP VALLEY DR STE 319",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902747604",
            "telephone_number": "310-544-6858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Capital Funds Ct",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372173937",
            "country_code": "US",
            "telephone_number": "615-361-6713",
            "fax_number": "615-361-6713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17822 Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926477101",
            "country_code": "US",
            "telephone_number": "714-409-3729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRUNG",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C159386",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD40492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000577",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

Verify at the official NPI Registry.