Active NPI
Vinhkhiem Nguyen Phuc, M.D.
- Cardiovascular Disease Physician
- Garden Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G57301
- Practice address
- 10681 Bolsa Ave
Garden Grove, CA 92843-5270 - Phone
- (714) 775-4400
- Fax
- (714) 775-0149
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G57301 | CA | Primary |
Addresses
Primary practice location
10681 Bolsa Ave
Garden Grove, CA 92843-5270
Mailing address
10681 Bolsa Ave
Garden Grove, CA 92843-5270
Phone (714) 775-4400
Other practice location 1
9500 Bolsa Ave
Suite P
Westminster, CA 92683-5943
Phone (714) 775-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G573010 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Harvard Medical School, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10362 Bolsa Ave
Westminster, CA 92683-6763
Phone (714) 531-2091
Hospital & facility affiliations
- Ameliorate Home Health Inc
- Uci Health-Orange
- Mission Palms Healthcare Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Khiem PV Nguyen MD Cardiology Associates Medical Group Inc | Current | Accepting new patients | |
| Khiem PV Nguyen MD Cardiology Associates Medical Group Inc | Current | Accepting new patients | |
| Good Samaritan Hospital Ca LTD PTP | Past | Accepting new patients | |
| Pih Health Good Samaritan Hospital | Past | Accepting new patients | |
| Anaheim Memorial Medical Center | Past | Accepting new patients |
Locations
10681 Bolsa Ave
Garden Grove, CA 92843
Phone (714) 554-2322
1245 Wilshire Blvd
Ste 703
Los Angeles, CA 90017
Phone (213) 977-0419
850 S Atlantic Blvd
Ste 305
Monterey Park, CA 91754
Phone (310) 514-2640
10362 Bolsa Ave
Westminster, CA 92683
Phone (714) 531-2091
9500 Bolsa Ave
Ste P
Westminster, CA 92683
Phone (714) 714-0075
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- vinhkhiemnguyenphuc@kpvnmd.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Specialist
- Westminster, CA
- NPI 1639379720
-
- Specialist
- Garden Grove, CA
- NPI 1659320372
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1295782381
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1205852209
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Van Nuys, CA
- NPI 1215508320
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1679532162",
"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": {
"last_name": "NGUYEN PHUC",
"first_name": "VINHKHIEM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G57301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G573010",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.