Individual provider Active NPI

Quyen Nguyen Kelly, MD

  • Obstetrics & Gynecology Physician
  • La Jolla, CA
National Provider Identifier
1356920367
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A201004 Issued in CA
Practice address
9850 Genesee Ave Ste 820
La Jolla, CA 92037-1219
Phone
(858) 677-0777
Fax
(858) 677-0666
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A201004 CA Primary
Obstetrics & Gynecology Physician 207V00000X 338161 NY

Addresses

Primary practice location

9850 Genesee Ave Ste 820
La Jolla, CA 92037-1219

Mailing address

9850 Genesee Ave Ste 820
La Jolla, CA 92037-1219
Phone (858) 677-0777

Other practice location 1

477 N El Camino Real Ste C208
Encinitas, CA 92024-1332
Phone (858) 677-0777

Other names 1

  • Dr. Baoquyen Nguyen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250818002368 CA Practitioner - Obstetrics/Gynecology 4688173545 Reassigns benefits to 1 organization
I20251015002295 NY Practitioner - Obstetrics/Gynecology 4688173545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
San Diego Womens Health IncGroup PAC ID 5395896674, 3 clinicians

Practice addresses (Care Compare)

9850 Genesee Ave
Suite 770
La Jolla, CA 92037-1232
Phone (858) 677-0777

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A201004CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Women's Health, Inc. Obstetrics & Gynecology CurrentSince Sep 15, 2025 Accepting new patients
Nassau Health Care Corporation CurrentSince Aug 9, 2025 Accepting new patients
Nassau Health Care Corporation CurrentSince Aug 9, 2025 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Epilepsy Rheumatology and Arthritis Specialty Wellness Center PC CurrentSince Sep 15, 2025 Accepting new patients

Locations

477 N El Camino Real
Ste C208
Encinitas, CA 92024
Phone (314) 825-7371

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

9850 Genesee Ave
Ste 770
La Jolla, CA 92037
Phone (858) 453-5200

9850 Genesee Ave
Ste 820
La Jolla, CA 92037
Phone (858) 453-5200

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • BSC 65 PLUS INDIVIDUAL MAPD
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23831/brand/1/csg/1/fhir/r4
  • Direct secure messaging: quyen.kelly.1@23831.direct.athenahealth.com

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 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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1356920367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 820",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371219",
            "telephone_number": "858-677-0777",
            "fax_number": "858-677-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 820",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371219",
            "telephone_number": "858-677-0777",
            "fax_number": "858-677-0666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "477 N El Camino Real Ste C208",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920241332",
            "country_code": "US",
            "telephone_number": "858-677-0777",
            "fax_number": "858-677-0666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "QUYEN",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A201004",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "338161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAOQUYEN",
            "last_name": "NGUYEN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.