Active NPI
Vincent Gia Nguyen, DO
- Internal Medicine Physician
- Scotts Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 23178
- Practice address
- 245 Mount Hermon Rd Ste L
Scotts Valley, CA 95066-4044 - Phone
- (831) 430-7203
- Fax
- (831) 430-7204
- NPI assigned
- Mar 29, 2021
- 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 | 23178 | CA | Primary |
Addresses
Primary practice location
245 Mount Hermon Rd Ste L
Scotts Valley, CA 95066-4044
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250107001619 | CA | Practitioner - Internal Medicine | 8123429958 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Touro Un College of Osteopathic Medicine, Vallejo, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dignity Health Medical Foundation
Practice addresses (Care Compare)
245 Mount Hermon Rd
Suite L
Scotts Valley, CA 95066-4044
Phone (831) 430-7203
Hospital & facility affiliations
- Mission Home Health of Monterey
- Dominican Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23178 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients |
Locations
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111
245 Mount Hermon Rd
Ste L
Scotts Valley, CA 95066
Phone (831) 430-7203
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Santa Cruz, CA
- NPI 1598961245
-
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
-
- Multi-Specialty Clinic/Center
- Santa Cruz, CA
- NPI 1649446352
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Monterey, CA
- NPI 1063801488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1285212704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 MOUNT HERMON RD STE L",
"city": "SCOTTS VALLEY",
"state": "CA",
"postal_code": "950664044",
"telephone_number": "831-430-7203",
"fax_number": "831-430-7204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "VINCENT",
"middle_name": "GIA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-29",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "23178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scotts Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.