Individual provider Active NPI

Vu Nguyen

  • Foot & Ankle Surgery Podiatrist
  • Fountain Valley, CA
National Provider Identifier
1629478094
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5956 Issued in CA
Practice address
18035 Brookhurst St Ste 1100
Fountain Valley, CA 92708-6738
Phone
(714) 861-4888
NPI assigned
Sep 3, 2014
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N006959 NY
Foot & Ankle Surgery Podiatrist 213ES0103X E5956 CA Primary

Addresses

Primary practice location

18035 Brookhurst St Ste 1100
Fountain Valley, CA 92708-6738

Mailing address

3862 Magnolia St
Irvine, CA 92606-2140

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230710002371 CA Practitioner - Podiatry 3577922491 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glenn a Miller DPM PCGroup PAC ID 3375912637, 3 clinicians
Home Foot Care IncGroup PAC ID 4981744257, 25 clinicians
Trong B Nguyen MD IncGroup PAC ID 5395807101, 4 clinicians
Convalescent Podiatry Care a Professional CorporationGroup PAC ID 7315470036, 5 clinicians

Practice addresses (Care Compare)

11076 Weatherwood Terrace
San Diego, CA 92131-2669
Phone (424) 201-1526

12520 Magnolia Blvd
Suite 304
Valley Village, CA 91607-2355
Phone (818) 452-9902

18035 Brookhurst St
Suite 1100
Fountain Valley, CA 92708-6738
Phone (714) 861-4888

5445 Del Amo Blvd
Suite 102
Lakewood, CA 90712-2761
Phone (562) 867-0811

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue33
Removal of nail tissue2633
Removal or shaving of skin growth1227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5956CAMDFoot & Ankle Surgery Podiatrist
N006959NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael D. Kotzen, Inc. Foot & Ankle Surgery CurrentSince Feb 1, 2024 Accepting new patients
Convalescent Podiatry Care a Professional Corporation CurrentSince Nov 1, 2025 Accepting new patients
Home Foot Care, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Glenn a. Miller, D.P.M.,P.C. CurrentSince Mar 3, 2024 Accepting new patients
Trong B Nguyen MD Inc CurrentSince Jun 26, 2023 Accepting new patients
Vu Nguyen DPM P.C Foot & Ankle Surgery CurrentSince May 2, 2023 Accepting new patients
Borys Gvozdyev MD a Professional Medical Corporation Past Accepting new patients
VTN Podiatry Foot & Ankle Surgery PastSince Jun 4, 2023 Accepting new patients

Locations

18035 Brookhurst St
#1100
Fountain Valley, CA 92708
Phone (714) 861-4888

18035 Brookhurst St
Ste 1100
Fountain Vly, CA 92708
Phone (714) 432-8880

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

5445 Del Amo Blvd
Ste 102
Lakewood, CA 90712
Phone (562) 867-0811

1335 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (562) 867-0811

12520 Magnolia Blvd
Ste 304
Valley Vlg, CA 91607
Phone (818) 452-9902

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: vnguyen791403@direct.memorialcare.org

Organizations & group practices 8

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 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": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1629478094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3862 MAGNOLIA ST",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926062140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18035 BROOKHURST ST STE 1100",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086738",
            "telephone_number": "714-861-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VU",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-03",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006959",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.