Individual provider Active NPI

Hoang Tran Nguyen, M.D.

  • Internal Medicine Physician
  • Fountain Valley, CA
National Provider Identifier
1457329179
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A80321 Issued in CA
Practice address
16040 Harbor Blvd
Ste. G
Fountain Valley, CA 92708-1327
Phone
(714) 531-7930
Fax
(714) 531-7997
NPI assigned
Mar 9, 2006
Last updated
Oct 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A80321 CA Primary

Addresses

Primary practice location

16040 Harbor Blvd
Ste. G
Fountain Valley, CA 92708-1327

Mailing address

4061 Reyes St
Irvine, CA 92604-2723
Phone (949) 387-0239

Other identifiers 1

IdentifierTypeStateIssuer
00A803210MedicaidCA

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
I20050304000725 CA Practitioner - Internal Medicine 1355395146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16040 Harbor Blvd G
Fountain Valley, CA 92708-1327
Phone (714) 531-7930

32770 Old Woman Springs Rd
Unit a
Lucerne Valley, CA 92356
Phone (714) 414-6120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.45 of 100Reported as apm
Quality
74.21
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A80321CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lucerne Valley Healthcare, Inc. Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients

Locations

10666 Chapman Ave
Garden Grove, CA 92840
Phone (714) 531-7930

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1457329179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4061 REYES ST",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926042723",
            "telephone_number": "949-387-0239",
            "fax_number": "714-531-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16040 HARBOR BLVD",
            "address_2": "STE. G",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081327",
            "telephone_number": "714-531-7930",
            "fax_number": "714-531-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HOANG",
        "middle_name": "TRAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A80321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A803210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.