Individual provider Active NPI

Alexie Khanh Nguyen, M.D.

  • Internal Medicine Physician
  • Encinitas, CA
National Provider Identifier
1659367613
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A83318 Issued in CA
Practice address
354 Sante Fe Drive
Encinitas, CA 92024
Phone
(760) 230-2251
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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 A83318 CA Primary

Addresses

Primary practice location

354 Sante Fe Drive
Encinitas, CA 92024

Mailing address

PO Box 231189
Encinitas, CA 92023-1189
Phone (760) 230-2251

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
I20040730000945 CA Practitioner - Internal MedicinePractitioner - Emergency Medicine 2961472378 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A83318CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Enlightened Healthcare Alliance Medical Corporation Internal Medicine CurrentSince Apr 2, 2019 Accepting new patients
Premier Surgical Partners Inc Past Accepting new patients
Encinitas Palliative Care Associates, Inc. Internal Medicine Past Accepting new patients
Acute Care Associates, Inc Past Accepting new patients

Locations

662 Encinitas Blvd
Ste 204
Encinitas, CA 92024
Phone (760) 203-5545

354 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 230-2251

320 Santa Fe Dr
Ste 107C
Encinitas, CA 92024
Phone (760) 230-8994

662 Encinitas Blvd
Ste 220
Encinitas, CA 92024
Phone (760) 230-2251

320 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 901-5200

320 Santa Fe Dr
Ste 308
Encinitas, CA 92024
Phone (760) 230-5188

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: anguyen31795@scrippshlth.medalliesdirect.net

Organizations & group practices 6

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1659367613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231189",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920231189",
            "telephone_number": "760-230-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 SANTE FE DRIVE",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "92024",
            "telephone_number": "760-230-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ALEXIE",
        "middle_name": "KHANH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A83318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.