Individual provider Active NPI

Quynam P Nguyen, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1255452454
Registry record updated Dec 5, 2011
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Dec 20, 2018.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G56407 Issued in CA
Practice address
3712 Whittier Blvd
1024 E Pacific Coast Hwy
Los Angeles, CA 90023-1733
Phone
(323) 268-8347
Fax
(323) 268-8368
NPI assigned
Apr 3, 2007
Last updated
Dec 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G56407 CA Primary

Addresses

Primary practice location

3712 Whittier Blvd
1024 E Pacific Coast Hwy
Los Angeles, CA 90023-1733

Mailing address

1024 E Pacific Coast Hwy
Long Beach, CA 90806-5017
Phone (562) 218-0131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56407CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anhdao V. Le, MD Inc. PastSince Mar 19, 2018 Accepting new patients
Corona Health Clinic, LLC Past Accepting new patients
East la Paz Medical Clinic PastSince Aug 4, 2003 Accepting new patients
Family Medical Clinics of California, Inc Past Accepting new patients
East la Paz Family Medical Clinic PA Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1255452454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 E PACIFIC COAST HWY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065017",
            "telephone_number": "562-218-0131",
            "fax_number": "562-218-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 WHITTIER BLVD",
            "address_2": "1024 E PACIFIC COAST HWY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231733",
            "telephone_number": "323-268-8347",
            "fax_number": "323-268-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "QUYNAM",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G56407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.