Active NPI
Kenneth Van Nguyen, CRNA
- Certified Registered Nurse Anesthetist
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NA95000772
- Practice address
- 2823 Fresno St
Fresno, CA 93721-1324 - Phone
- (559) 451-1602
- NPI assigned
- Aug 26, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NA95000772 | CA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 95000772 | CA |
Addresses
Primary practice location
2823 Fresno St
Fresno, CA 93721-1324
Mailing address
PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 E Audubon Dr
Fresno, CA 93720-1542
Phone (559) 433-8000
2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000
45 E River Park PL W
Fresno, CA 93720-1565
Phone (559) 320-0530
805 W Acequia Ave
Suite 2D
Visalia, CA 93291-6164
Phone (559) 320-0530
Hospital & facility affiliations
- Community Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.04 of 100
- Quality
- 78.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95000772 | CA | MD | Certified Registered Nurse Anesthetist |
| NA95000772 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Partners | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients |
Locations
1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550
7257 N Fresno St
Fresno, CA 93720
Phone (559) 447-4050
7417 N Cedar Ave
Ste 101
Fresno, CA 93720
Phone (559) 437-5645
1843 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 323-6611
2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
7417 N Cedar Ave
Fresno, CA 93720
Phone 5594360871111
15 E Audubon Dr
Fresno, CA 93720
Phone (559) 433-8000
805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Fresno, CA
- NPI 1952912420
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1811258510
-
- Orthopaedic Surgery Physician
- Fresno, CA
- NPI 1376056721
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1497272835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7096",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952670096",
"telephone_number": "209-956-7725",
"fax_number": "209-956-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2823 FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211324",
"telephone_number": "559-451-1602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KENNETH",
"middle_name": "VAN",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-26",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "NA95000772",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95000772",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.