Active NPI
Quynam P Nguyen, M.D.
- Internal Medicine Physician
- Los Angeles, CA
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.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G56407
- 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, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56407 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anhdao V. Le, MD Inc. | Past | Accepting new patients | |
| Corona Health Clinic, LLC | Past | Accepting new patients | |
| East la Paz Medical Clinic | Past | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.