Son Ngoc Nguyen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A49188 Issued in CA

Practice address

2150 N Waterman Ave
Ste 202
San Bernardino, CA 92404-4811

Phone

(909) 383-9385

Fax

(909) 882-2463

NPI assigned

May 12, 2006

Last updated

Jun 4, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Family Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vvipa Medical Group IncGroup PAC ID 5092185546, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: son.nguyen.p2@direct.hvvmg.nextgenshare.com

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.

• Vvipa Medical Group Inc

  dba Heritage Victor Valley Medical Group

  • Clinic/Center
  • Victorville, CA
  • NPI 1295126001

  Family Medicine

  Medicare reassignment Care Compare group NPD
• 365 Mdcare Inc

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1164869780
  Medicare reassignment NPD
• Qazi Medical Group, Inc.

  • Pulmonary Disease Physician
  • Banning, CA
  • NPI 1548489271

  Family Medicine

  Medicare reassignment NPD
• High Desert Medical Group

  • Multi-Specialty Clinic/Center
  • Lancaster, CA
  • NPI 1720196702

  Family Medicine

  NPD
• Inland Healthcare Group, a Medical Corporation

  • Pediatrics Physician
  • San Bernardino, CA
  • NPI 1528238961
  NPD (past)
• Kenneth V. Miselis, M.D. Inc.

  dba Heritage Eye Associates

  • Specialist
  • Stockton, CA
  • NPI 1962413740
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1376593889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "address_2": "PHYSICIAN SUPPORT SERVICES - 2ND FL",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 N WATERMAN AVE",
            "address_2": "STE 202",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044811",
            "telephone_number": "909-383-9385",
            "fax_number": "909-882-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SON",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A49188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ43246Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376593889",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235318445",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ngoc V Nguyen
• Richard Nguyen, PT, DPT
• Robert Duc Nguyen, MD
• Samantha Quynh-VI Nguyen
• Son Nguyen, PSYD, DRPH
• Thanh-Ha C Nguyen
• Thuy-Huynh Trinh Nguyen, M.D.
• Tiffany Nguyen
• Trung D Nguyen, MD
• Van T Nguyen, PHARM D.

• Family Medicine Physician in San Bernardino, CA
• Providers in San Bernardino, 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 Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.