Individual provider Active NPI

Quy Tu Nguyen, M.D.

  • Obstetrics & Gynecology Physician
  • Marina del Rey, CA
National Provider Identifier
1336555333
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
131609 Issued in CA
Practice address
13160 Mindanao Way Ste 317
Marina del Rey, CA 90292-7907
Phone
(310) 301-0230
NPI assigned
Jul 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 131609 CA Primary

Addresses

Primary practice location

13160 Mindanao Way Ste 317
Marina del Rey, CA 90292-7907

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707

Other practice location 1

421 N Rodeo Dr
PH 1
Beverly Hills, CA 90210-4500
Phone (310) 432-6640

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
I20180614003047 CA Practitioner - Obstetrics/Gynecology 1254686256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Southwestern Medical School at Dallas, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Regents of the University of CaliforniaGroup PAC ID 0143124289, 53 clinicians

Practice addresses (Care Compare)

1010 Veteran Ave
Los Angeles, CA 90024-2704
Phone (310) 825-7955

200 Medical PLZ
Suite 430
Los Angeles, CA 90095-6957
Phone (310) 794-7274

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.28 of 100Reported as group
Quality
76.27
Promoting interoperability
100
Improvement activities
40
Cost
68.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
131609CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Obstetrics & Gynecology CurrentSince Nov 1, 2022 Accepting new patients
Rodeo Medical Group Obstetrics & Gynecology CurrentSince Aug 1, 2020 Accepting new patients
The Regents of the University of California Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

9720 Wilshire Blvd
Ste Ll
Beverly Hills, CA 90212
Phone (310) 432-6640

421 N Rodeo Dr
Ph 1
Beverly Hills, CA 90210
Phone (310) 432-6640

File 54456
Los Angeles, CA 90074

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

200 Medical Plz
Ste 430
Los Angeles, CA 90095
Phone (310) 794-8282

13160 Mindanao Way
Ste 317
Marina del Rey, CA 90292
Phone (310) 301-0040

2001 Santa Monica Blvd
Ste 380
Santa Monica, CA 90404
Phone (310) 899-7500

Interoperability endpoints

  • Direct secure messaging: qnguyen1037375@direct.uclahealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1336555333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8707",
            "fax_number": "310-432-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY STE 317",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927907",
            "telephone_number": "310-301-0230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 N Rodeo Dr",
            "address_2": "PH 1",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902104500",
            "country_code": "US",
            "telephone_number": "310-432-6640",
            "fax_number": "310-432-6647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "QUY",
        "middle_name": "TU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "131609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

Verify at the official NPI Registry.