Bao Sean Huy Nguyen, MD
Individual provider Active NPI Gastroenterology Physician · Torrance, CA
NPI 1396249702 · NPPES record last updated Aug 27, 2024
Key facts
- NPI
- 1396249702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- A165846 (CA)
- Practice address
- 2780 Skypark Dr Ste 125
Torrance, CA 90505-7528 - Phone
- (310) 530-8013
- NPI assigned
- Mar 20, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 31
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- University of Southern California Keck School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Regents of the University of California
Venice Family Clinic
Practice addresses (Care Compare)
2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381
2509 Pico Blvd
Santa Monica, CA 90405-1828
Phone (310) 664-7901
2780 Skypark Dr
Suite 125
Torrance, CA 90505-7528
Phone (310) 530-8001
Hospital & facility affiliations
- Torrance Memorial Medical Center
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
- Ronald Reagan UCLA Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.51 of 100
- Quality
- 79.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.65
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 53 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 74 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220922002779 | CA | Practitioner - Gastroenterology |
8921483207 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A165846 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Current |
Accepting new patients | |
| The Regents of the University of California | Current |
Accepting new patients | |
| The Regents of the University of California | Internal Medicine | Current |
Accepting new patients |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Essent PRMC LP | Past | Accepting new patients | |
| UCLA Medical Group | Internal Medicine | Past | Accepting new patients |
Locations
24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
File 55737
Los Angeles, CA 90074
757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448
892 Aerovista Pl
Ste 240
San Luis Obispo, CA 93401
Phone (805) 541-8252
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500
2780 Skypark Dr
Ste 135
Torrance, CA 90505
Phone (310) 530-8013
2780 Skypark Dr
Ste 125
Torrance, CA 90505
Phone (310) 530-8001
Interoperability endpoints
- snguyen616700@direct.uclahealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A165846 | CA | Yes |
Addresses
Primary practice location
2780 Skypark Dr Ste 125
Torrance, CA 90505-7528
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
Other providers in Torrance, CA
- Andrew Nguyen
- Anh Khoi Dinh Nguyen
- Ashley Nguyen
- Ashley Thuchan Nguyen
- Bao Ngoc Nguyen
- Christina My Duyen Nguyen
- Christine Nguyen
- Connie CHI Nguyen
- Darien Dangkhoa Nguyen
- David Nguyen
All providers in Torrance, CA · Gastroenterology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.