Individual provider Active NPI

Minh Ngoc Nguyen, MD

  • Cardiovascular Disease Physician
  • Long Beach, CA
National Provider Identifier
1528166105
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G59442 Issued in CA
Practice address
411 E Pacific Coast Hwy
Long Beach, CA 90806-6218
Phone
(562) 599-0981
Fax
(562) 599-0996
NPI assigned
Sep 20, 2006
Last updated
Mar 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G59442 CA Primary

Addresses

Primary practice location

411 E Pacific Coast Hwy
Long Beach, CA 90806-6218

Mailing address

411 E Pacific Coast Hwy
Long Beach, CA 90806-6218
Phone (562) 599-0981

Other identifiers 1

IdentifierTypeStateIssuer
00G594420MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070406000311 CA Practitioner - Cardiovascular Disease (Cardiology) 7810894805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Medical College of Wisconsin, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

411 E Pacific Coast Hwy
Long Beach, CA 90806-6218
Phone (562) 599-0981

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G59442CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Albert Medical Clinic Inc Internal Medicine CurrentSince Jan 6, 1997 Accepting new patients

Locations

2785 Pacific Ave
Ste B
Long Beach, CA 90806
Phone (424) 250-9186

306 E Pacific Coast Hwy
Ste 102
Long Beach, CA 90806
Phone (562) 599-0981

411 E Pacific Coast Hwy
Long Beach, CA 90806
Phone (562) 599-0981

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1528166105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E PACIFIC COAST HWY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908066218",
            "telephone_number": "562-599-0981",
            "fax_number": "562-599-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E PACIFIC COAST HWY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908066218",
            "telephone_number": "562-599-0981",
            "fax_number": "562-599-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MINH",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G59442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G594420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.