Active NPI
Duc Tien Nguyen, D.P.M, D.C
- Primary Podiatric Medicine Podiatrist
- Garden Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- E4494
- Practice address
- 9355 Chapman Ave Ste 202
Garden Grove, CA 92841-2536 - Phone
- (818) 925-0193
- NPI assigned
- Jul 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | E4494 | CA | Primary |
| Chiropractor | 111N00000X | 21758 | CA |
Addresses
Primary practice location
9355 Chapman Ave Ste 202
Garden Grove, CA 92841-2536
Mailing address
14441 Beach Blvd 225
Westminster, CA 92683-5347
Phone (818) 925-0193
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: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1520 S Imperial Ave
El Centro, CA 92243-4241
Phone (760) 550-1685
1699 N Imperial Ave
El Centro, CA 92243-1320
Phone (760) 352-2551
222 E Cole Blvd
Calexico, CA 92231-3211
Phone (760) 550-1685
5445 Del Amo Blvd
Suite 102
Lakewood, CA 90712-2761
Phone (562) 867-0811
690 Otay Lakes Rd
Suite 120
Chula Vista, CA 91910-8904
Phone (760) 352-2551
81812 Dr Carreon Blvd
Suite E
Indio, CA 92201-5594
Phone (760) 352-2551
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 57 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 6022 |
| Removal or shaving of skin growth | 1060 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4494 | CA | MD | Primary Podiatric Medicine Podiatrist |
| 4494 | CA | MD | Occupational Therapist |
Practice roles (9 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vo Medical Center | Current | Accepting new patients | |
| Michael D. Kotzen, Inc. | Current | Accepting new patients | |
| Legacy MD Medical Group Inc | Current | Accepting new patients | |
| Imperial Manor Skilled Nursing Inc | Current | Accepting new patients | |
| Convalescent Podiatry Care a Professional Corporation | Current | Accepting new patients | |
| Vo Medical Center | Current | Accepting new patients | |
| James F Eggold | Past | Accepting new patients | |
| Convalescent Podiatry Care | Past | Accepting new patients | |
| Legacy MD Medical Group Inc | Past | Accepting new patients |
Locations
290 Main St
Brawley, CA 92227
Phone (760) 352-2551
222 E Cole Blvd
Calexico, CA 92231
Phone (760) 352-2551
222 E Cole Blvd
Ste C
Calexico, CA 92231
Phone (760) 352-2551
690 Otay Lakes Rd
Ste 125
Chula Vista, CA 91910
Phone (760) 352-2551
690 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 421-0444
690 Otay Lakes Rd
Ste 120
Chula Vista, CA 91910
Phone (619) 397-7800
1699 N Imperial Ave
El Centro, CA 92243
Phone (442) 283-3494
1590 S Imperial Ave
El Centro, CA 92243
Phone (760) 352-2551
81812 Doctor Carreon Blvd
Ste E
Indio, CA 92201
Phone (442) 236-1498
5445 Del Amo Blvd
Ste 102
Lakewood, CA 90712
Phone (562) 867-0811
1335 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (562) 867-0811
12520 Magnolia Blvd
Ste 304
Valley Vlg, CA 91607
Phone (818) 452-9902
15243 Vanowen St
Ste 411B
Van Nuys, CA 91405
Phone (818) 408-2800
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 11
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.
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- Podiatrist
- Lakewood, CA
- NPI 1306606579
-
- General Practice Physician
- El Centro, CA
- NPI 1073210753
-
- Rural Health Clinic/Center
- Brawley, CA
- NPI 1912662883
-
- Urgent Care Clinic/Center
- El Centro, CA
- NPI 1609118041
-
- Podiatrist
- Lakewood, CA
- NPI 1023540325
-
- Podiatrist
- Van Nuys, CA
- NPI 1447480785
-
- Foot & Ankle Surgery Podiatrist
- Valley Village, CA
- NPI 1013105972
-
- Cardiac Rehabilitation Registered Nurse
- El Centro, CA
- NPI 1447949292
-
- Podiatrist
- Lakewood, CA
- NPI 1568576528
-
- Podiatrist
- Riverside, CA
- NPI 1720276058
-
- Cardiac Rehabilitation Registered Nurse
- Calexico, CA
- NPI 1285494351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1245495498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14441 BEACH BLVD 225",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926835347",
"telephone_number": "818-925-0193",
"fax_number": "714-551-1953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9355 CHAPMAN AVE STE 202",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928412536",
"telephone_number": "818-925-0193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DUC",
"middle_name": "TIEN",
"name_prefix": "Dr.",
"credential": "D.P.M, D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-26",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "CA",
"license": "E4494",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "21758",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.