Individual provider Active NPI

Vinhkhiem Nguyen Phuc, M.D.

  • Cardiovascular Disease Physician
  • Garden Grove, CA
National Provider Identifier
1679532162
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G57301 Issued in CA
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

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G573010MedicaidCA

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
I20080311000609 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0840375176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
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 Home health agency, Canoga Park, CA, CCN 757844
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Mission Palms Healthcare Center Nursing home, Westminster, CA, CCN 056271

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Khiem PV Nguyen MD Cardiology Associates Medical Group Inc CurrentSince Oct 1, 2000 Accepting new patients
Khiem PV Nguyen MD Cardiology Associates Medical Group Inc CurrentSince Oct 1, 2000 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.