Kevin H Nguyen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A60052 Issued in CA

Practice address

4770 W Herndon Ave
Fresno, CA 93722-8402

Phone

(559) 271-6365

Fax

(559) 271-6326

NPI assigned

May 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Long Term Care Medical Group, Inc

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1356479877

  CA

  Medicare reassignment NPD
• Armen H Bedrosian MD Inc

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1063907905
  NPD (past)
• Primary Care Consultants, Inc. a Medical Group

  • Family Medicine Physician
  • Clovis, CA
  • NPI 1659303832

  Family Medicine

  NPD (past)
• Theresa Pharmacy Inc

  • Community/Retail Pharmacy
  • Westminster, CA
  • NPI 1013088244
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1487601480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 W HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228402",
            "telephone_number": "559-271-6365",
            "fax_number": "559-271-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 W HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228402",
            "telephone_number": "559-271-6365",
            "fax_number": "559-271-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KEVIN",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A60052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOA600520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnny Quoc Nguyen, PHARMD
• Jordan Nguyen, DDS
• Kathy Nguyen
• Katie Phuong Nguyen, MD
• Kenneth Van Nguyen, CRNA
• Khanh Nguyen, DDS
• Kimsa Nguyen
• Lillian Yen Nguyen
• Linh VI Nguyen
• Linhphuong L Nguyen, D.D.S

• All providers in Fresno, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.