Individual provider Active NPI

Huong Thi Le Nguyen, MD

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1265506794
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A34653 Issued in CA
Practice address
4444 El Cajon Blvd
Suite #6
San Diego, CA 92115-4312
Phone
(619) 285-1522
Fax
(619) 285-0714
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A34653 CA Primary
Pediatrics Physician 208000000X A34653 CA

Addresses

Primary practice location

4444 El Cajon Blvd
Suite #6
San Diego, CA 92115-4312

Mailing address

4444 El Cajon Blvd
Suite #6
San Diego, CA 92115-4312
Phone (619) 285-1522

Other identifiers 1

IdentifierTypeStateIssuer
A34653MedicaidCA

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
I20091230000172 CA Practitioner - Family PracticePractitioner - General PracticePractitioner - Pediatric Medicine 7416097209 Reassigns benefits to 1 organization
Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Pediatric Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4444 El Cajon Blvd
Suite 6
San Diego, CA 92115-4392
Phone (619) 285-1522

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A34653CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huong T L Nguyen MD Inc Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Scripps Health Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

4444 El Cajon Blvd
Ste 6
San Diego, CA 92115
Phone (619) 285-1522

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1265506794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 EL CAJON BLVD",
            "address_2": "SUITE #6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154312",
            "telephone_number": "619-285-1522",
            "fax_number": "619-285-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 EL CAJON BLVD",
            "address_2": "SUITE #6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154312",
            "telephone_number": "619-285-1522",
            "fax_number": "619-285-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HUONG",
        "middle_name": "THI LE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A34653",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A34653",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A34653",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.