Individual provider Active NPI

Thuan T. Nguyen, M.D.

  • Plastic Surgery Physician
  • Huntington Beach, CA
National Provider Identifier
1629032735
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A55079 Issued in CA
Practice address
19121 Brookhurst St Ste 201
Huntington Beach, CA 92646-2545
Phone
(714) 444-4011
Fax
(714) 444-2668
NPI assigned
Apr 14, 2006
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A55079 CA Primary

Addresses

Primary practice location

19121 Brookhurst St Ste 201
Huntington Beach, CA 92646-2545

Mailing address

19121 Brookhurst St Ste 201
Huntington Beach, CA 92646-2545
Phone (714) 444-4011

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
I20060309000319 CA Practitioner - Plastic and Reconstructive Surgery 9133136526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Mississippi School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19121 Brookhurst St
Suite 101a
Huntington Beach, CA 92646-2545
Phone (714) 444-4011

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy42
Melanoma (skin cancer) excision12
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thuan T Nguyen a Professional Corporation Plastic Surgery CurrentSince Mar 17, 2012 Accepting new patients
Thuan T Nguyen a Professional Corporation Current Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients

Locations

11190 Warner Ave
Fountain Vly, CA 92708
Phone (714) 432-7500

11190 Warner Ave
Ste 400
Fountain Vly, CA 92708
Phone (714) 356-1238

19121 Brookhurst St
Huntington Beach, CA 92646

19121 Brookhurst St
Ste 101
Huntington Beach, CA 92646

19121 Brookhurst St
Ste 101A
Huntington Beach, CA 92646
Phone (714) 444-4011

19121 Brookhurst St
Ste 201
Huntington Beach, CA 92646
Phone (714) 444-4011

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

Hospital & facility affiliations 3

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1629032735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19121 BROOKHURST ST STE 201",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462545",
            "telephone_number": "714-444-4011",
            "fax_number": "714-444-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19121 BROOKHURST ST STE 201",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462545",
            "telephone_number": "714-444-4011",
            "fax_number": "714-444-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THUAN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A55079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.