Individual provider Active NPI

Richard Thien Nguyen, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • San Diego, CA
National Provider Identifier
1275724361
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A97934 Issued in CA
Practice address
2810 Camino del Rio S
Ste 102
San Diego, CA 92108-3818
Phone
(619) 299-1419
Fax
(858) 461-6008
NPI assigned
Aug 5, 2007
Last updated
Apr 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A97934 CA Primary

Addresses

Primary practice location

2810 Camino del Rio S
Ste 102
San Diego, CA 92108-3818

Mailing address

2810 Camino del Rio S
Ste 102
San Diego, CA 92108-3818
Phone (619) 299-1419

Other identifiers 1

IdentifierTypeStateIssuer
P00728777OtherCARRM

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
I20080116000856 CA Practitioner - Geriatric MedicinePractitioner - Internal Medicine 5597846485 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
University of Vermont College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Medical Associates IncGroup PAC ID 0446339469, 13 clinicians
Rawi Medical, PCGroup PAC ID 3678826047, 11 clinicians
Del Sur HealthcareGroup PAC ID 1850827395, 61 clinicians

Practice addresses (Care Compare)

2810 Camino del Rio S
Suite 102
San Diego, CA 92108-3819
Phone (619) 299-1419

3525 Del Mar Heights Rd
Suite 359
San Diego, CA 92130-2199
Phone (858) 252-2700

436 S Magnolia Ave
Suite 101
El Cajon, CA 92020-5219
Phone (760) 978-8596

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
52.58 of 100Reported as individual
Quality
35
Promoting interoperability
0
Improvement activities
40
Cost
56.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A97934CAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Medical Associates, Inc. Geriatric Medicine CurrentSince Mar 1, 2016 Accepting new patients
Del Sur Healthcare Geriatric Medicine CurrentSince Mar 1, 2025 Accepting new patients
Rawi Medical PC Geriatric Medicine CurrentSince Jun 16, 2025 Accepting new patients

Locations

436 S Magnolia Ave
Ste 101
El Cajon, CA 92020
Phone (760) 978-8596

2810 Camino del Rio S
Ste 102
San Diego, CA 92108
Phone (619) 299-1419

3525 Del Mar Heights Rd
Ste 359
San Diego, CA 92130
Phone (858) 252-2700

Organizations & group practices 3

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 9

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1275724361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 CAMINO DEL RIO S",
            "address_2": "STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083818",
            "telephone_number": "619-299-1419",
            "fax_number": "858-461-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 CAMINO DEL RIO S",
            "address_2": "STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083818",
            "telephone_number": "619-299-1419",
            "fax_number": "858-461-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "RICHARD",
        "middle_name": "THIEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A97934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM",
            "identifier": "P00728777",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.