Kelvin Huy Tang Nguyen, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E-4912 Issued in CA

Practice address

13310 Euclid St
Garden Grove, CA 92843-2514

Phone

(714) 622-9004

NPI assigned

Mar 11, 2010

Last updated

Oct 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Caduceus Physicians Medical GroupGroup PAC ID 5294762654, 23 clinicians

Anchor Medical GroupGroup PAC ID 9133616519, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Anchor Medical Group

  • Family Medicine Physician
  • Yorba Linda, CA
  • NPI 1700678810
  Medicare reassignment Care Compare group NPD
• Caduceus Physicians Medical Group

  • Family Medicine Physician
  • Yorba Linda, CA
  • NPI 1497702724
  Medicare reassignment Care Compare group NPD
• Elite Atlantic Foot & Ankle Clinic

  • Foot Surgery Podiatrist
  • Monterey Park, CA
  • NPI 1265053672
  Medicare reassignment NPD Authorized official
• Garden Grove Foot and Ankle Clinic

  • Foot & Ankle Surgery Podiatrist
  • Garden Grove, CA
  • NPI 1609269257
  Medicare reassignment NPD Authorized official
• East la Paz Medical Clinic

  dba East Family Medical Clinic

  • Primary Podiatric Medicine Podiatrist
  • Los Angeles, CA
  • NPI 1881616761
  NPD (past)
• Home Foot Care, Inc.

  • Podiatrist
  • Van Nuys, CA
  • NPI 1447480785
  NPD (past)
• Hope Medical Group

  • Family Medicine Physician
  • Monterey Park, CA
  • NPI 1306173398
  NPD (past)
• Michael D. Kotzen, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Valley Village, CA
  • NPI 1013105972
  NPD (past)

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1285957639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13310 EUCLID ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432514",
            "telephone_number": "714-638-2643",
            "fax_number": "714-638-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13310 EUCLID ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432514",
            "telephone_number": "714-622-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KELVIN",
        "middle_name": "HUY TANG",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-11",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "R66856",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E-4912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy L Nguyen, PHARM.D
• Kathy Phuong Nguyen
• Kathy Tram Nguyen, B.A.
• Kelly Tran Nguyen
• Kelvin Nguyen
• Kenneth Cong Nguyen, DDS
• Kevin Nguyen, PHARM.D.
• Khang Nguyen
• Khang Nguyen, BCBA
• Khanh Bao Nguyen, M.D.

• Foot & Ankle Surgery Podiatrist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.