Kevin Kim Nguyen, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95027344 Issued in CA

Practice address

8733 Beverly Blvd Ste 201
West Hollywood, CA 90048-1844

Phone

(858) 357-3465

NPI assigned

Sep 25, 2023

Last updated

Sep 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Humanity Medical Group Inc.

  dba Humanity Medical Group

  • Hematology & Oncology Physician
  • Simi Valley, CA
  • NPI 1992407381

  Nurse Practitioner

  Medicare reassignment NPD
• Legacy Marketing Worldwide Inc.

  dba Perpetual Medical Group

  • Primary Care Nurse Practitioner
  • Los Angeles, CA
  • NPI 1336505197
  Medicare reassignment NPD
• County of Los Angeles

  dba Martin Luther King, Jr. Outpatient Center

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1780877613
  Medicare reassignment
• County of Los Angeles

  dba County of Los Angeles Harbor UCLA Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1659150043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6204 MAYFIELD AVE STE 2",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142371",
            "telephone_number": "858-357-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 BEVERLY BLVD STE 201",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481844",
            "telephone_number": "858-357-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KEVIN",
        "middle_name": "KIM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95027344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Phuong Nguyen, MD
• James Nguyen, M.D.
• Jimmy Thuan Nguyen, M.D.
• Katarina Marie Nguyen, NP-C
• Katrina Nguyen, DO
• Long-Co Nguyen, M.D.
• Nelson Nguyen, PA-C
• Ngoc-Thao Nguyen
• Thien-Trang Joanna Nguyen, M.D.
• Tri Minh Nguyen, D.O.

• Nurse Practitioner in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.