Khiem PV Nguyen MD Cardiology Associates Medical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

KHIEM PV NGUYEN MD CARDIOLOGY ASSOCIATES MEDICAL GROUP INC

Practice address

10681 Bolsa Ave
Garden Grove, CA 92843-5270

Phone

(714) 775-4400

Fax

(714) 775-0149

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Tram Tran

Title

Office Manager

Phone

(714) 775-4400

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Khiem PV Nguyen MD Cardiology Associates Medical Group Inc

  • Specialist
  • Monterey Park, CA
  • NPI 1225073562

  O20071005000479

  Same enrollment
• Khiem PV Nguyen MD Cardiology Associates Medical Group Inc

  • Specialist
  • Westminster, CA
  • NPI 1639379720

  O20071005000479

  Same enrollment

Tax ID family

Khiem PV Nguyen MD Card Assocs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Khiem PV Nguyen MD Cardiology Associates Medical Group Inc

  • Specialist
  • Westminster, CA
  • NPI 1639379720
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vinhkhiem Nguyen Phuc, M.D.

  • Cardiovascular Disease Physician
  • Garden Grove, CA
  • NPI 1679532162
  NPD

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1659320372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10681 BOLSA AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928435270",
            "telephone_number": "714-775-4400",
            "fax_number": "714-775-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10681 BOLSA AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928435270",
            "telephone_number": "714-775-4400",
            "fax_number": "714-775-0149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Bolsa Ave",
            "address_2": "Suite P",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CA",
            "postal_code": "926835943",
            "country_code": "US",
            "telephone_number": "714-775-4400",
            "fax_number": "714-775-0149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KHIEM PV NGUYEN MD CARDIOLOGY ASSOCIATES MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TRAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-775-4400"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G573010",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ61416Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sereen Khalil
• Farzana Khan
• Rayhan Khan
• Khanh Bao Nguyen MD Inc
• Khiem D Lai MD Inc
• Khoi Dinh Nguyen Medical Office Inc
• Khoi Quang Tang, M.D., Inc.
• Tasneem Khraisat
• Diem Phuong Khuu, PHARM.D
• Grace Kiarie

• Specialist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.