Kathy Nguyen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16905 Issued in CA

Practice address

421 Rodeo Dr. 2ND Floor, Terrace Level
Beverly Hills, CA 90210

Phone

(310) 274-5372

Fax

(310) 274-5380

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FBBCCD

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.

• Good Derm, Inc

  dba Good Dermatology

  • Dermatology Physician
  • Torrance, CA
  • NPI 1407474273
  NPD
• Lisa Chipps, MD, Inc.

  • Dermatology Physician
  • Beverly Hills, CA
  • NPI 1629211537
  NPD

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1245335330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23120 OCEAN AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053530",
            "telephone_number": "310-373-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 RODEO DR. 2ND FLOOR, TERRACE LEVEL",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-274-5372",
            "fax_number": "310-274-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KATHY",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE NUMBER",
            "identifier": "PA16905",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andre Khang Nguyen, PHARMD
• Andy Tin Nguyen, MD
• Davis B Nguyen, M.D.
• Derrick Trong Nguyen, DO
• Donna Khue Nguyen, DNP, FNP-C
• Kevin Nguyen
• Kevin Thanh Phong Nguyen
• Oanh Ngoc Thi Nguyen, FNP
• Pauline Ngoc Anh Nguyen, MD
• Phi Nguyen

• Physician Assistant in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.