Individual provider Active NPI

Andrew Nguyen, DO

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1245760750
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A17154 Issued in CA
Practice address
2776 Pacific Ave
Long Beach, CA 90806-2613
Phone
(562) 997-2000
NPI assigned
Jun 16, 2017
Last updated
Feb 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A17154 CA Primary

Addresses

Primary practice location

2776 Pacific Ave
Long Beach, CA 90806-2613

Mailing address

13576 Olivebrook CT
Westminster, CA 92683-3271
Phone (714) 702-3803

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191025001906 CA Practitioner - Family Practice 8022340934 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Andrew Nguyen DO a Professional Medical CorporationGroup PAC ID 5092168740, 6 clinicians
Precision Health CenterGroup PAC ID 4486047628, 8 clinicians

Practice addresses (Care Compare)

280 Newport Ctr Dr
Suite 110
Newport Beach, CA 92660-7541
Phone (949) 478-3305

709 N Hill St
Suite 18
Los Angeles, CA 90012-2352
Phone (213) 687-0988

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A17154CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Medical Care of California Family Medicine CurrentSince Aug 14, 2024 Accepting new patients
Andrew Nguyen DO a Professional Medical Corporation CurrentSince Dec 1, 2023 Accepting new patients
Memorialcare Medical Foundation Family Medicine CurrentSince Mar 1, 2021 Accepting new patients
Precision Health Center CurrentSince Dec 1, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Jul 29, 2019 Accepting new patients
Precision Health Center CurrentSince Dec 1, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jul 29, 2019 Accepting new patients
Inpatient Specialists of California, PC Family Medicine CurrentSince Oct 4, 2023 Accepting new patients
Farzan S. Rajput, MD Inc Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

415 N Crescent Dr
Ste 320
Beverly Hills, CA 90210
Phone (415) 510-2755

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

11420 Warner Ave
Fountain Vly, CA 92708
Phone (714) 549-1300

2568 Clarendon Ave
Huntington Park, CA 90255
Phone (310) 613-7224

2110 N Bellflower Blvd
Long Beach, CA 90815
Phone (562) 346-2222

709 N Hill St
Ste 18
Los Angeles, CA 90012
Phone (213) 687-0888

280 Newport Center Dr
Ste 110
Newport Beach, CA 92660
Phone (949) 478-3305

797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1820 E Warm Springs Rd
Ste 130
Las Vegas, NV 89119

4680 Polaris Ave
Ste 200
Las Vegas, NV 89103
Phone (702) 909-5900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nguyen.andrew.277.0050948@pcmi.meditab.direct-ci.com
  • Direct secure messaging: nguyen.andrew.279.0050948@pcmi.meditab.direct-ci.com
  • Direct secure messaging: nguyen.andrew.281.0050948@pcmi.meditab.direct-ci.com

Organizations & group practices 9

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": "1497571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1245760750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13576 OLIVEBROOK CT",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833271",
            "telephone_number": "714-702-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062613",
            "telephone_number": "562-997-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANDREW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-16",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A17154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.