Individual provider Active NPI

Christine Nguyen, MD

  • Family Medicine Physician
  • Marquette, MI
National Provider Identifier
1467015487
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A193170 Issued in CA
Practice address
1414 W Fair Ave Ste 36
Marquette, MI 49855-2675
Phone
(906) 449-1010
NPI assigned
Apr 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A193170 CA Primary

Addresses

Primary practice location

1414 W Fair Ave Ste 36
Marquette, MI 49855-2675

Mailing address

1414 W Fair Ave Ste 36
Marquette, MI 49855-2675
Phone (906) 449-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220804001806 AL Practitioner - Family Practice 8325476385 Reassigns benefits to 2 organizations
I20241119001820 CA Practitioner - Family Practice 8325476385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Healthcare Medical Associates IncGroup PAC ID 5294647574, 109 clinicians

Practice addresses (Care Compare)

300 Hospital Dr
Vallejo, CA 94589-2574
Phone (707) 554-4444

Hospital & facility affiliations

  • Sutter Solano Medical Center Hospital, Vallejo, CA, CCN 050101
  • Loma Linda University Medical Center-Murrieta Hospital, Murrieta, CA, CCN 050770

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A193170CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Whatley Health Services Inc CurrentSince Aug 1, 2022 Accepting new patients
Whatley Health Services, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Capstone Health Services Foundation PC CurrentSince Aug 1, 2022 Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine CurrentSince Sep 14, 2024 Accepting new patients
Capstone Health Services Foundation PC Family Medicine CurrentSince Aug 1, 2022 Accepting new patients

Locations

2731 Ml King Jr Blvd
Tuscaloosa, AL 35401
Phone (205) 349-3250

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

Interoperability endpoints

  • Direct secure messaging: cnguyen696449@hisp.ehr.sutterhealth.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": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1467015487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE STE 36",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "906-449-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE STE 36",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "906-449-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHRISTINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A193170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.