Individual provider Active NPI

Vinh Loc Nguyen, PA

  • Medical Physician Assistant
  • Ocala, FL
National Provider Identifier
1669794905
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9105390 Issued in FL
Practice address
1910 SW 18TH CT Ste 200
Ocala, FL 34471
Phone
(352) 629-7011
Fax
(866) 592-7773
NPI assigned
Feb 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9105390 FL Primary

Addresses

Primary practice location

1910 SW 18TH CT Ste 200
Ocala, FL 34471

Mailing address

5365 W Atlantic Ave
Ste 504
Delray Beach, FL 33484-8194
Phone (561) 241-9300

Other identifiers 1

IdentifierTypeStateIssuer
CY173YOtherFLMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vnguyen@nationalspine.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20100419000159 FL Practitioner - Physician Assistant 2365579653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13945 N US Hwy 441
Lady Lake, FL 32159-8924
Phone (352) 277-3500

150 SW Chamber CT
Suite 105
Port St Lucie, FL 34986-3413
Phone (772) 807-9000

1693 Lee Rd
Suite B
Winter Park, FL 32789-2260
Phone (407) 622-5766

440 SW Perimeter GLN
Lake City, FL 32025-0497
Phone (386) 719-9663

5948 Turkey Lake Rd
Orlando, FL 32819-4202
Phone (407) 228-8080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.19 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Oct 10, 2017 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Oct 10, 2017 Accepting new patients
Florida Pain and Rehabilitation Institute Inc Past Accepting new patients

Locations

5365 Atlantic Ave
Ste 504
Delray Beach, FL 33484
Phone (561) 241-9300

440 SW Perimeter Gln
Lake City, FL 32025
Phone (386) 719-9663

1910 SW 18th Ct
#200
Ocala, FL 34471
Phone (352) 629-7011

150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1669794905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5365 W ATLANTIC AVE",
            "address_2": "STE 504",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848194",
            "telephone_number": "561-241-9300",
            "fax_number": "561-241-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SW 18TH CT STE 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-629-7011",
            "fax_number": "866-592-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VINH",
        "middle_name": "LOC",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-26",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9105390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CY173Y",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vnguyen@nationalspine.emadirect.md",
            "affiliation": "N",
            "address_1": "1910 SW 18th Ct Ste 200",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "34471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.