Kevin K. Nguyen, MD, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A86874 Issued in CA

Legal business name

KEVIN K. NGUYEN, MD, INC.

Practice address

29798 Haun Road
Suite 203
Sun City, CA 92586-6541

Phone

(951) 301-9188

Fax

(951) 672-6132

NPI assigned

Jun 18, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Kevin K Nguyen, M.D.NPI 1598739203

Title

MD/Owner

Phone

(951) 301-9188

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Khuong Nguyen, M.D.

  • Family Medicine Physician
  • Menifee, CA
  • NPI 1598739203
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1295962157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1342",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925641342",
            "telephone_number": "951-301-9188",
            "fax_number": "951-672-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29798 HAUN ROAD",
            "address_2": "SUITE 203",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925866541",
            "telephone_number": "951-301-9188",
            "fax_number": "951-672-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN K. NGUYEN, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "951-301-9188",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A86874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1571239",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randy L Jester, HIS
• Johnson and Johnson Hearing Aid Center
• Mike Johnson, HEARING AID SPECIALI
• Sharilyn Johnson, MFT
• Jay Jeffrey Jones, LCSW
• Christin King, DDS
• Michael K. Kobayashi, O.D.
• Rachel Wooi Kok, M.A.
• KPC Global Medical Centers, Inc. (Menifee Global Medical Center)
• James Patrick Krieg, M.D.

• Family Medicine Physician in Sun City, CA
• Providers in Sun City, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.