Individual provider Active NPI

Hong Nguyen, M.D.

  • Procedural Dermatology Physician
  • Long Beach, CA
National Provider Identifier
1295022259
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
A120467 Issued in CA
Practice address
3828 Schaufele Ave Ste 300
Long Beach, CA 90808-1793
Phone
(562) 997-1144
Fax
(562) 989-3612
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A120467 CA
Student in an Organized Health Care Education/Training Program 390200000X
Procedural Dermatology Physician 207NS0135X A120467 CA Primary

Addresses

Primary practice location

3828 Schaufele Ave Ste 300
Long Beach, CA 90808-1793

Mailing address

3828 Schaufele Ave Ste 300
Long Beach, CA 90808-1793
Phone (562) 997-1144

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
I20140710002592 CA Practitioner - Dermatology 3779708557 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Geffen School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Dermatology, Inc.Group PAC ID 7618473521, 3 clinicians
J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

2921 Palo Verde Ave
Suite 102
Long Beach, CA 90815-1552
Phone (562) 999-3483

3828 Schaufele Ave
Suite 300
Long Beach, CA 90808-1793
Phone (562) 543-0469

9333 Rosecrans Ave
Bellflower, CA 90706-2141
Phone (562) 461-3000

9449 Imperial Hwy
Downey, CA 90242-2814
Phone (562) 461-3000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of skin lesions2267
Removal or shaving of skin growth28
Skin biopsy410

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A120467CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J Robert West, M.D., Inc Dermatology CurrentSince Jan 31, 2023 Accepting new patients
Uci Department of Dermatology Dermatology CurrentSince Jun 15, 2015 Accepting new patients
University of California Irvine CurrentSince Oct 5, 2015 Accepting new patients
University of California Irvine CurrentSince Oct 5, 2015 Accepting new patients
Modern Dermatology, Inc. Dermatology CurrentSince Mar 1, 2026 Accepting new patients
University of California Irvine Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients

Locations

300 W Carl Karcher Way
Anaheim, CA 92801
Phone (657) 282-6356

2921 Palo Verde Ave
Ste 102
Long Beach, CA 90815
Phone (562) 999-3483

3828 Schaufele Ave
Ste 300
Long Beach, CA 90808
Phone (562) 997-1144

400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101

400 Newport Center Dr
Ste 602
Newport Beach, CA 92660
Phone (949) 644-1434

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

800 N Main St
Santa Ana, CA 92701
Phone (714) 456-6324

2552 Walnut Ave
Ste 120
Tustin, CA 92780
Phone (714) 508-0754

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1295022259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 SCHAUFELE AVE STE 300",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081793",
            "telephone_number": "562-997-1144",
            "fax_number": "562-989-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 SCHAUFELE AVE STE 300",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081793",
            "telephone_number": "562-997-1144",
            "fax_number": "562-989-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HONG",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A120467",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A120467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.