Active NPI
Van T Nguyen, M.D.
- General Practice Physician
- Pacific Palisades, CA
National Provider Identifier
1487697843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A76873
- Practice address
- 910 Via de la Paz
Pacific Palisades, CA 90272-3515 - Phone
- (310) 454-4544
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A76873 | CA | Primary |
Addresses
Primary practice location
910 Via de la Paz
Pacific Palisades, CA 90272-3515
Mailing address
PO Box 10500
Westminster, CA 92685
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040513000415 | CA | Practitioner - Family Practice | 2062402019 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.51 of 100
- Quality
- 84.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A76873 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chase Dennis Emergency Medical Group Inc | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- vnguyen462845@hisp.ehr.sutterhealth.org
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Santa Rosa, CA
- NPI 1033152350
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636416000000",
"number": "1487697843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10500",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "92685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 VIA DE LA PAZ",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902723515",
"telephone_number": "310-454-4544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "VAN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2021-11-09",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A76873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pacific Palisades, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.