Active NPI
Tien Quang Nguyen, MD
- Dermatology Physician
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G50454
- Practice address
- 17271 Brookhurst St
Fountain Valley, CA 92708-3701 - Phone
- (714) 531-2966
- Fax
- (714) 531-3495
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 20979 | NV | |
| Dermatology Physician | 207N00000X | G50454 | CA | Primary |
Addresses
Primary practice location
17271 Brookhurst St
Fountain Valley, CA 92708-3701
Mailing address
17271 Brookhurst St
Fountain Valley, CA 92708-3701
Phone (714) 531-2966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Florida College of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17271 Brookhurst St
Fountain Valley, CA 92708-3701
Phone (714) 531-2966
17305 Von Karman Ave
Suite 107
Irvine, CA 92614-0903
Phone (949) 679-9997
3037 W Horizon Ridge Pkwy
Suite 120
Henderson, NV 89052-4191
Phone (702) 749-3303
4013 Reyes Ave
Las Vegas, NV 89141-8830
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 20 |
| Removal of skin lesions | 1948 |
| Removal of skin cancer | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 245 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G50454 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tien Q Nguyen MD Dermatology Prof Corp | Dermatology | Current | Accepting new patients |
| First Oc Dermatology PC | Dermatology | Current | Accepting new patients |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients | |
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| St Joseph Hospital of Orange | Past | Accepting new patients |
Locations
17271 Brookhurst St
Ste A
Fountain Valley, CA 92708
Phone (714) 531-2966
17271 Brookhurst St
Ste 417
Fountain Vly, CA 92708
17271 Brookhurst St
Fountain Vly, CA 92708
Phone (714) 531-2966
14281 Brookhurst St
Ste C
Garden Grove, CA 92843
Phone (714) 531-2966
17305 Von Karman Ave
Ste 107
Irvine, CA 92614
Phone (949) 478-2230
3037 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 263-4993
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Dermatology Physician
- Henderson, NV
- NPI 1477364818
-
- Dermatology Physician
- Fountain Valley, CA
- NPI 1710124417
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
-
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1396741351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17271 BROOKHURST ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083701",
"telephone_number": "714-531-2966",
"fax_number": "714-531-3495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17271 BROOKHURST ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083701",
"telephone_number": "714-531-2966",
"fax_number": "714-531-3495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TIEN",
"middle_name": "QUANG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NV",
"license": "20979",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G50454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.