Individual provider Active NPI

Thuy Thi-Minh Nguyen, MD

  • Emergency Medicine Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1336162858
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A80322 Issued in CA
Practice address
9695 Baseline Rd
Rancho Cucamonga, CA 91730-1314
Phone
(909) 941-0920
Fax
(909) 941-0940
NPI assigned
Jul 25, 2006
Last updated
Mar 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A80322 CA Primary

Addresses

Primary practice location

9695 Baseline Rd
Rancho Cucamonga, CA 91730-1314

Mailing address

5879 Jackson PL
Rancho Cucamonga, CA 91739-2435
Phone (951) 283-8553

Other identifiers 3

IdentifierTypeStateIssuer
00A803220MedicaidCA
00A803220OtherCABLUE SHIELD
P00205726OtherCARAILROAD MEDICARE

Other names 1

  • Thuy Thi-Minh Nguyen Former name

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
I20040326001417 CA Practitioner - Family Practice 8325930043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thuy TM Nguyen MD IncGroup PAC ID 0244382703, 2 clinicians

Practice addresses (Care Compare)

9695 Baseline Rd
Rancho Cucamonga, CA 91730-1314
Phone (909) 941-0920

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A80322CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Healthcare Foundation Current Accepting new patients
AIDS Healthcare Foundation CurrentSince Apr 4, 2022 Accepting new patients
Central Urgent Medical Care Past Accepting new patients
First Aid Urgent Care Inc PastSince Apr 2, 2022 Accepting new patients

Locations

2146 W Adams Blvd
Los Angeles, CA 90018
Phone (323) 766-2170

8263 Grove Ave
Ste 201
Rancho Cucamonga, CA 91730
Phone (909) 579-0708

4510 Brockton Ave
Ste 350
Riverside, CA 92501
Phone (951) 801-4266

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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 2

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1336162858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5879 JACKSON PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392435",
            "telephone_number": "951-283-8553",
            "fax_number": "909-941-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9695 BASELINE RD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301314",
            "telephone_number": "909-941-0920",
            "fax_number": "909-941-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THUY",
        "middle_name": "THI-MINH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-03-09",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A80322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A803220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A803220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00205726",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THUY",
            "last_name": "NGUYEN",
            "middle_name": "THI-MINH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.