Individual provider Active NPI

Jimmy Thuan Nguyen, M.D.

  • Neonatal-Perinatal Medicine Physician
  • West Hollywood, CA
National Provider Identifier
1447549225
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
A130843 Issued in CA
Practice address
8700 Beverly Blvd Ste 4311
West Hollywood, CA 90048-1804
Phone
(310) 423-4451
Fax
(310) 423-2114
NPI assigned
Apr 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X A130843 CA Primary

Addresses

Primary practice location

8700 Beverly Blvd Ste 4311
West Hollywood, CA 90048-1804

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513

Other practice location 1

5621 W Barbette Ave
Santa Ana, CA 92704-1015
Phone (714) 478-9661

Other practice location 2

501 S Buena Vista St
Burbank, CA 91505-4809
Phone (818) 843-5111

Other practice location 3

3330 Lomita Blvd
Torrance, CA 90505-5002
Phone (310) 325-9110

Other practice location 4

235 S Palisade Dr
Santa Maria, CA 93454-5948
Phone (805) 739-3561

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
I20170620001958 CA Practitioner - Pediatric Medicine 1759659543 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A130843CAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers CurrentSince Jul 1, 2024 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Feb 1, 2024 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Jul 1, 2024 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Feb 1, 2024 Accepting new patients
Pacific Central Coast Health Centers Current Accepting new patients
Cedars-Sinai Medical Center CurrentSince Jul 1, 2017 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Jul 1, 2017 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Pediatrix Medical Group of California, a Professional Corporation Neonatal-Perinatal Medicine Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

500 Old River Rd
Ste 200
Bakersfield, CA 93311
Phone (661) 663-6429

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

2901 N Ventura Rd
Ste 110
Oxnard, CA 93036
Phone (805) 981-6163

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

235 S Palisade Dr
Santa Maria, CA 93454
Phone (805) 739-3561

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

8700 Beverly Blvd
Ste 4332
West Hollywood, CA 90048

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

8700 Beverly Blvd
Ste 4311
West Hollywood, CA 90048
Phone (310) 423-4434

8700 Beverly Blvd
Ste 4434
West Hollywood, CA 90048

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1447549225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD STE 4311",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-423-4451",
            "fax_number": "310-423-2114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5621 W Barbette Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927041015",
            "country_code": "US",
            "telephone_number": "714-478-9661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S Buena Vista St",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915054809",
            "country_code": "US",
            "telephone_number": "818-843-5111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 Lomita Blvd",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905055002",
            "country_code": "US",
            "telephone_number": "310-325-9110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 S Palisade Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934545948",
            "country_code": "US",
            "telephone_number": "805-739-3561",
            "fax_number": "805-739-3560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JIMMY",
        "middle_name": "THUAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-01",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CA",
            "license": "A130843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.