Individual provider Active NPI

Kim Nga Nguyen, M.D.

  • Diagnostic Radiology Physician
  • Santa Monica, CA
National Provider Identifier
1689628331
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 200300269 NC
Diagnostic Radiology Physician 2085R0202X MD417883 PA Primary

Addresses

Primary practice location

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

Mailing address

2461 Santa Monica Blvd
Ste 108
Santa Monica, CA 90404-2138
Phone (866) 487-7621

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090209000605 CA Practitioner - Diagnostic Radiology 6305932286 Reassigns benefits to 5 organizations
I20210528001738 GA Practitioner - Diagnostic Radiology 6305932286
I20230824001254 LA Practitioner - Diagnostic Radiology 6305932286 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
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)

12060 Texas Hwy
Many, LA 71449-5605
Phone (318) 256-9002

12093 Brookhurst St
Suite C
Garden Grove, CA 92840-2851
Phone (866) 448-7762

16776 Intrepid LN
Huntington Beach, CA 92649-2827
Phone (985) 867-4050

240 Highland Dr
Many, LA 71449-3718
Phone (318) 256-7380

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200300269NCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Allegiance Hospital of Many,LLC CurrentSince Sep 12, 2024 Accepting new patients
CLHG-Oakdale, LLC CurrentSince Apr 27, 2023 Accepting new patients
CLHG-Acadian LLC CurrentSince Jan 1, 2024 Accepting new patients
CLHG-Oakdale LLC Current Accepting new patients
Diagnostic Imaging Associates Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
CLHG-Ville Platte LLC Diagnostic Radiology CurrentSince May 5, 2024 Accepting new patients
County of Los Angeles CurrentSince Sep 1, 2019 Accepting new patients
CLHG-Oakdale LLC CurrentSince Apr 27, 2023 Accepting new patients
CLHG-Ville Platte LLC CurrentSince May 5, 2024 Accepting new patients
Allegiance Hospital of Many, LLC CurrentSince Sep 12, 2024 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince May 21, 2023 Accepting new patients
CLHG-Acadian, LLC CurrentSince Jan 1, 2024 Accepting new patients
Blue Ridge Healthcare Medical Group Inc Diagnostic Radiology CurrentSince May 21, 2023 Accepting new patients
Pontchartrain Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Feb 21, 2022 Accepting new patients
County of Los Angeles CurrentSince Sep 1, 2019 Accepting new patients
Sra Medical Imaging LLC Diagnostic Radiology CurrentSince Jul 31, 2023 Accepting new patients
CLHG-Acadian LLC Diagnostic Radiology Current Accepting new patients
Hawkeye Medical, LLC CurrentSince Sep 19, 2024 Accepting new patients
Lucien Diagnostic Imaging Inc Diagnostic Radiology PastSince Jul 31, 2023 Accepting new patients
Allegiance Hospital of Many, LLC Past Accepting new patients
Southtowns Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients
Penn Imaging Associates PC Diagnostic Radiology Past Accepting new patients
CLHG-Oakdale, LLC Past Accepting new patients
Albert J. Cook M.D. Inc Diagnostic Radiology Past Accepting new patients
Medical Center Radiologists Inc Diagnostic Radiology Past Accepting new patients
UCLA Radiology Medical Group Diagnostic Radiology Past Accepting new patients
University Radiology Network Inc Diagnostic Radiology Past Accepting new patients
Allegiance Hospital of Many, LLC Past Accepting new patients
Ohio Imaging Associates Inc Diagnostic Radiology Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

12093 Brookhurst St
Garden Grove, CA 92840

12093 Brookhurst St
Ste C
Garden Grove, CA 92840
Phone (714) 638-3694

3972 Barranca Pkwy
#J408
Irvine, CA 92606

171 Pier Ave
Santa Monica, CA 90405
Phone (310) 721-7547

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

3501 Highway 190
Eunice, LA 70535
Phone (337) 580-7500

12060 Texas Hwy
#3
Many, LA 71449
Phone (318) 256-9002

240 Highland Dr
Many, LA 71449
Phone (318) 256-5691

395 S Capitol St
Many, LA 71449
Phone (318) 256-2000

4231 Highway 1192
Marksville, LA 71351
Phone (318) 240-6000

130 Hospital Dr
Oakdale, LA 71463
Phone (318) 215-3084

1006 Highland Ave
Shreveport, LA 71101
Phone (318) 222-6226

800 E Main St
Ville Platte, LA 70586
Phone (337) 363-5684

Organizations & group practices 29

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 29

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.