Individual provider Active NPI

Hoa Hieu Nguyen, M.D.

  • Internal Medicine Physician
  • Irvine, CA
National Provider Identifier
1427285394
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
205442 Issued in LA
Practice address
16100 Sand Canyon Ave Ste 240
Irvine, CA 92618-3724
Phone
(949) 393-7443
NPI assigned
Jun 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X A118305 CA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A118305 CA
Hospitalist Physician 208M00000X A118305 CA
Internal Medicine Physician 207R00000X 205442 LA Primary

Addresses

Primary practice location

16100 Sand Canyon Ave Ste 240
Irvine, CA 92618-3724

Mailing address

16100 Sand Canyon Ave Ste 240
Irvine, CA 92618-3724
Phone (949) 393-7443

Other practice location 1

18173 Santa Adela Cir
Fountain Valley, CA 92708-5608
Phone (562) 412-8863

Other identifiers 1

IdentifierTypeStateIssuer
1950190MedicaidLA

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
I20140702001869 CA Practitioner - Internal Medicine 2365692019 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PCG Medical Institute CorpGroup PAC ID 6406209592, 4 clinicians

Practice addresses (Care Compare)

11922 Seacrest Dr
Suite E
Garden Grove, CA 92840-1937
Phone (657) 667-0078

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205442LAMDInternal Medicine Physician
A118305CAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PCG Medical Institute Corp. Internal Medicine CurrentSince Dec 12, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Sep 19, 2016 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 19, 2016 Accepting new patients
Gaurav Datta MD Inc Internal Medicine Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

18035 Brookhurst St
Ste 2100
Fountain Valley, CA 92708
Phone (657) 241-9090

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

11922 Seacrest Dr
Ste E
Garden Grove, CA 92840
Phone (657) 667-0078

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

3501 S Harbor Blvd
Santa Ana, CA 92704
Phone (714) 784-1658

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hnguyen@landmarkhealth-direct.org
  • Direct secure messaging: hnguyen@yourcarecommunity.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 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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1427285394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE STE 240",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183724",
            "telephone_number": "949-393-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE STE 240",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183724",
            "telephone_number": "949-393-7443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18173 Santa Adela Cir",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927085608",
            "country_code": "US",
            "telephone_number": "562-412-8863",
            "fax_number": "562-412-8863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HOA",
        "middle_name": "HIEU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A118305",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A118305",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A118305",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "205442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1950190",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.