Khang Thai Nguyen, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A90876 Issued in CA

Practice address

2775 Via de la Valle
101
Del Mar, CA 92014-1921

Phone

(858) 869-7729

Fax

(888) 347-0124

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Karl Thai Nguyen Other name

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

Specialty

Plastic and Reconstructive SurgeryAlso: Hand Surgery, Maxillofacial Surgery

Education

University of Florida College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Plastic and Cosmetic Surgery IncGroup PAC ID 0749369247, 2 clinicians

Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AFHABD/Endpoint/AFHABD
• Direct secure messaging: knguyen42408@scrippshlth.medalliesdirect.net

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.

• Innovative Plastic & Cosmetic Surgery Inc

  • Plastic Surgery Physician
  • San Diego, CA
  • NPI 1528239761
  Medicare reassignment Care Compare group NPD Authorized official
• Emergency and Acute Care Medical Corporation

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1437103942
  Medicare reassignment Care Compare group NPD
• Ipcs Anesthesia, PC

  • Ambulatory Surgical Clinic/Center
  • San Diego, CA
  • NPI 1922477900
  Medicare reassignment NPD Authorized official
• Innovative Surgery Center LLC

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1740692730
  NPD (past) Authorized official
• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sharp Memorial Hospital

  • Rehabilitation Hospital Unit
  • San Diego, CA
  • NPI 1114901352
  Care Compare affiliation
• Sharp Memorial Hospital

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1407839921
  Care Compare affiliation

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1265590897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 VIA DE LA VALLE",
            "address_2": "101",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920141921",
            "telephone_number": "858-869-7729",
            "fax_number": "888-347-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 VIA DE LA VALLE",
            "address_2": "101",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920141921",
            "telephone_number": "858-869-7729",
            "fax_number": "888-347-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHANG",
        "middle_name": "THAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A90876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARL",
            "last_name": "NGUYEN",
            "middle_name": "THAI",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dylan Samuel Mutchler, PT, DPT, CSCS
• Ariane Clara Myers Turnbull, PH.D.
• Julia A Myers, PSY. D.
• Robert J. Neborsky, M.D.
• Vicki Nevins, PH.D.
• Long H Nguyen, M.D.
• Ngan Nguyen, RPH
• Nicholas Genovese MD Inc
• Nicholas Jize DDS, Inc
• Joseph F. Nichols, DPT

• Plastic Surgery Physician in Del Mar, CA
• Providers in Del Mar, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.

Verify at the official NPI Registry.