Active NPI
Trung D Nguyen, MD
- Plastic Surgery Physician
- San Bernardino, CA
National Provider Identifier
1528086279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A82169
- Practice address
- 1869 N Waterman Ave
San Bernardino, CA 92404-4830 - Phone
- (909) 883-8686
- Fax
- (909) 881-6537
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | A82169 | CA | |
| Plastic Surgery Physician | 208200000X | A82169 | CA | Primary |
Addresses
Primary practice location
1869 N Waterman Ave
San Bernardino, CA 92404-4830
Mailing address
1869 N Waterman Ave
San Bernardino, CA 92404-4830
Phone (909) 883-8686
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 |
|---|---|---|---|---|
| I20061006000550 | CA | Practitioner - Plastic and Reconstructive Surgery | 8325044720 | Practice locations: San Bernardino, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of California, Geffen School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1869 N Waterman Ave
San Bernardino, CA 92404-4830
Phone (909) 883-8686
Hospital & facility affiliations
- St Bernardine Medical Center
- Community Hospital of San Bernardino
- Riverside Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 33 |
| Removal of tissue | 69 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A82169 | CA | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redlands Community Hospital | Past | Accepting new patients | |
| Primecare Medical Group | Past | Accepting new patients | |
| Centre for Plastic Surgery | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Community Hospital of San Bernardino | Past | Accepting new patients | |
| David Trung D. Nguyen, M.D., Inc. | Plastic Surgery | Past | Accepting new patients |
| Nephrology Associates Medical Group Inc | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 7
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.
-
- Ambulatory Surgical Clinic/Center
- San Bernardino, CA
- NPI 1225279953
-
- Pediatric Skilled Nursing Facility
- San Bernardino, CA
- NPI 1851395685
-
- Plastic Surgery Physician
- San Bernardino, CA
- NPI 1821238064
-
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1689769911
-
- Nephrology Physician
- Riverside, CA
- NPI 1447200126
-
- General Acute Care Hospital
- Redlands, CA
- NPI 1043354111
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1093720427
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1235290818
-
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1689769911
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1114971660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463529600000",
"number": "1528086279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1869 N WATERMAN AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924044830",
"telephone_number": "909-883-8686",
"fax_number": "909-881-6537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1869 N WATERMAN AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924044830",
"telephone_number": "909-883-8686",
"fax_number": "909-881-6537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TRUNG",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2016-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "CA",
"license": "A82169",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A82169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.