Kim Nga Nguyen, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD417883 Issued in PA

Practice address

2461 Santa Monica Blvd
Ste 108
Santa Monica, CA 90404-2138

Phone

(866) 487-7621

Fax

(310) 388-3029

NPI assigned

May 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA, GA, LA3 enrollments

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 3

Specialty

Diagnostic Radiology

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allegiance Hospital of Many, LLCGroup PAC ID 3274607551, 40 clinicians

Pontchartrain Diagnostic Imaging LLCGroup PAC ID 1951552900, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Allegiance Hospital of Many, LLC

  • General Acute Care Hospital
  • Many, LA
  • NPI 1568626273
  Medicare reassignment Care Compare group NPD
• Pontchartrain Diagnostic Imaging LLC

  • Diagnostic Radiology Physician
  • Covington, LA
  • NPI 1760734685

  CA

  Medicare reassignment Care Compare group NPD
• County of Los Angeles

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment NPD
• Blue Ridge Healthcare Medical Group Inc

  • Diagnostic Radiology Physician
  • Morganton, NC
  • NPI 1639244478

  CA

  Medicare reassignment NPD
• CLHG-Acadian LLC

  • Family Medicine Physician
  • Eunice, LA
  • NPI 1942977657

  Diagnostic Radiology

  Medicare reassignment NPD
• CLHG-Oakdale LLC

  • Rural Health Clinic/Center
  • Oberlin, LA
  • NPI 1063111920
  Medicare reassignment NPD
• CLHG-Ville Platte LLC

  • Anesthesiology Physician
  • Ville Platte, LA
  • NPI 1285811927

  Diagnostic Radiology

  Medicare reassignment NPD
• Diagnostic Imaging Associates

  • Diagnostic Radiology Physician
  • Shreveport, LA
  • NPI 1194807271

  CA

  Medicare reassignment NPD
• Hawkeye Medical, LLC

  • Hospitalist Physician
  • Marksville, LA
  • NPI 1952630360
  Medicare reassignment NPD
• Sra Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Buffalo, NY
  • NPI 1881920452

  CA

  Medicare reassignment NPD
• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1295407401
  NPD
• Allegiance Hospital of Many,LLC

  • Family Medicine Physician
  • Robeline, LA
  • NPI 1043078199
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University Healthcare System, L.C.

  • Ambulance
  • Metairie, LA
  • NPI 1023717683

  Hospital

  Care Compare affiliation
• University Healthcare System, L.C.

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1033611454
  Care Compare affiliation
• University Healthcare System, L.C.

  • General Acute Care Hospital
  • Metairie, LA
  • NPI 1497792527
  Care Compare affiliation
• University Healthcare System, L.C.

  • Psychiatric Hospital Unit
  • Covington, LA
  • NPI 1790722825
  Care Compare affiliation

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1689628331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 SANTA MONICA BLVD",
            "address_2": "STE 108",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042138",
            "telephone_number": "866-487-7621",
            "fax_number": "310-388-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2461 SANTA MONICA BLVD",
            "address_2": "STE 108",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042138",
            "telephone_number": "866-487-7621",
            "fax_number": "310-388-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KIM",
        "middle_name": "NGA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "200300269",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD417883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020226630001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "KN4219572",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2793240",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Nguyen, RN
• Doan Thuy Duc Nguyen
• Joseph Vinh Nguyen, PHARMD
• Khanh Nguyen
• Khoa Ba Nguyen
• Lily Nguyen, PA-C, L.AC.
• Thalia Nguyen, MD
• Trang Van Nguyen, O.D.
• Daoshing Ni, L.AC., O.M.D., PH.D.
• Maoshing Ni, D.O.M., PH.D.

• Diagnostic Radiology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.

Verify at the official NPI Registry.