Individual provider Active NPI

Thong Thanh Nguyen, DO

  • Anatomic Pathology & Clinical Pathology Physician
  • Rancho Mirage, CA
National Provider Identifier
1528263175
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
20A11754 Issued in CA
Practice address
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone
(760) 340-3911
Fax
(760) 773-1587
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X BP2-0019923 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 3974 IA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 20A11754 CA Primary

Addresses

Primary practice location

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221

Mailing address

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

Other identifiers 3

IdentifierTypeStateIssuer
1528263175MedicaidIA
1528263175OtherIABCBS
31802OtherNEBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20191024001394 NV Practitioner - Pathology 3971649369 Reassigns benefits to 1 organization
I20191231000513 AZ Practitioner - Pathology 3971649369 Reassigns benefits to 1 organization
I20221228002457 CA Practitioner - Pathology 3971649369 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eisenhower Medical CenterGroup PAC ID 5890689657, 462 clinicians

Practice addresses (Care Compare)

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

39950 Vista del Sol
Rancho Mirage, CA 92270-3206
Phone (760) 340-0053

Hospital & facility affiliations

  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573
  • Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11754CAMDAddiction (Substance Use Disorder) Counselor
BP2-0019923TXMDAnatomic Pathology Physician
20A11754CAMDAnatomic Pathology & Clinical Pathology Physician
3974IAMDAnatomic Pathology & Clinical Pathology Physician
671NEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eisenhower Medical Center Current Accepting new patients
Eisenhower Medical Center CurrentSince May 7, 2025 Accepting new patients
Siamak Tabib MD Inc CurrentSince Nov 1, 2024 Accepting new patients
Path MD Inc CurrentSince Feb 18, 2024 Accepting new patients
Peyton P. Berookim, MD Inc CurrentSince Jan 1, 2024 Accepting new patients
Laboratory Medicine Consultants LTD CurrentSince Oct 21, 2019 Accepting new patients
Urology Center of So Calif Medical Group Inc Current Accepting new patients
Urology Center of Southern California Medical Group Inc CurrentSince Feb 18, 2024 Accepting new patients
Eisenhower Medical Center CurrentSince May 7, 2025 Accepting new patients
Urology Center of Southern California Medical Group Inc Past Accepting new patients
Lincoln Digestive Health Center LLC PastSince Sep 13, 2010 Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

150 N Robertson Blvd
Ste 115
Beverly Hills, CA 90211
Phone (310) 271-1122

801 S Main St
Ste 201
Corona, CA 92882
Phone (951) 735-2700

931 Buena Vista St
Ste 200A
Duarte, CA 91010
Phone (818) 321-2745

20984 Bake Pkwy
Ste 106B
Lake Forest, CA 92630

8631 W 3rd St
Ste 1015E
Los Angeles, CA 90048
Phone (310) 614-3897

File 749203
Los Angeles, CA 90074

8158 Beverly Blvd
Los Angeles, CA 90048
Phone (310) 489-5615

28078 Baxter Rd
Ste 450
Murrieta, CA 92563
Phone (951) 677-3000

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813

72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999

3975 Jackson St
Ste 308
Riverside, CA 92503
Phone (951) 687-8730

11025 Rca Center Dr
Ste 300
Palm Beach Gardens, FL 33410
Phone (561) 383-3820

7455 W Washington Ave
Ste 301
Las Vegas, NV 89128
Phone (702) 732-3441

3059 S Maryland Pkwy
Ste 100
Las Vegas, NV 89109
Phone (702) 732-3441

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

Interoperability endpoints

  • Direct secure messaging: tnguyen140067@edirect.emc.org

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1528263175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-340-3911",
            "fax_number": "760-773-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-340-3911",
            "fax_number": "760-773-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THONG",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "TX",
            "license": "BP2-0019923",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IA",
            "license": "3974",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "20A11754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528263175",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1528263175",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31802",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.