Individual provider Active NPI

Hung Huu Nguyen, MD

  • Internal Medicine Physician
  • Westminster, CA
National Provider Identifier
1619921095
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A34250 Issued in CA
Practice address
10362 Bolsa Avenue
Westminster, CA 92683-6763
Phone
(714) 531-2091
Fax
(714) 531-1403
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A34250 CA Primary

Addresses

Primary practice location

10362 Bolsa Avenue
Westminster, CA 92683-6763

Mailing address

10362 Bolsa Avenue
Westminster, CA 92683-6763
Phone (714) 531-2091

Other identifiers 1

IdentifierTypeStateIssuer
00A342500MedicaidCA

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
I20040908000705 CA Practitioner - Internal Medicine 0244206514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bolsa Medical GroupGroup PAC ID 2769458264, 14 clinicians

Practice addresses (Care Compare)

10362 Bolsa Ave
Suite 110
Westminster, CA 92683-6763
Phone (714) 531-2091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A34250CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bolsa Medical Group Internal Medicine CurrentSince May 1, 1994 Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Integrative Medical Center Past Accepting new patients

Locations

1321 E Warner Ave
Santa Ana, CA 92705
Phone (714) 541-9855

10362 Bolsa Ave
Ste 110
Westminster, CA 92683
Phone (714) 531-2091

10362 Bolsa Ave
Ste 206207
Westminster, CA 92683

10362 Bolsa Ave
Westminster, CA 92683
Phone (714) 531-2091

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hung.nguyen@bolsamg.directbygreenway.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1619921095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10362 BOLSA AVENUE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836763",
            "telephone_number": "714-531-2091",
            "fax_number": "714-531-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10362 BOLSA AVENUE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836763",
            "telephone_number": "714-531-2091",
            "fax_number": "714-531-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HUNG",
        "middle_name": "HUU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A34250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A342500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.