Phillip Nguyen, MD

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

A173034 Issued in CA

Practice address

1280 S Victoria Avenue
Suite # 250
Ventura, CA 93003-6521

Phone

(805) 351-0745

Fax

(805) 288-6744

NPI assigned

Mar 28, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physical Medicine and Rehabilitation

Education

Louisiana State University School of Medicine in New Orleans, 2016

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Matthew L Bloom DO PC

  • Physical Medicine & Rehabilitation Physician
  • Ventura, CA
  • NPI 1356957047
  Medicare reassignment NPD
• West Coast Health and Rehab PC

  • Physical Medicine & Rehabilitation Physician
  • Edgewater, NJ
  • NPI 1043743891

  CA

  Medicare reassignment NPD
• 625 North a Street Oxnard Surgery Center, LLC

  dba Apex Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Oxnard, CA
  • NPI 1184325144
  NPD (past)

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

• Dignity Health

  dba St. John's Regional Medical Center

  • General Acute Care Hospital
  • Oxnard, CA
  • NPI 1073665360
  Care Compare affiliation

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1700248721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 S VICTORIA AVENUE",
            "address_2": "SUITE # 250",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036521",
            "telephone_number": "805-351-0745",
            "fax_number": "805-288-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 S VICTORIA AVENUE",
            "address_2": "SUITE # 250",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036521",
            "telephone_number": "805-351-0745",
            "fax_number": "805-288-6744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Canal St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701123018",
            "country_code": "US",
            "telephone_number": "504-702-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1542 Tulane Ave # T4M2",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122865",
            "country_code": "US",
            "telephone_number": "504-568-2577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHILLIP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2022-07-21",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A173034",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A173034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hoa an Nguyen, R.N.
• Jennifer Anne Nguyen, DO
• Justin Ngoc Nguyen, DO
• Lisa Nguyen
• Nobel D Nguyen, DO
• Phuong Minh Nguyen
• Stacey Nguyen
• Thuan Nguyen, DO
• Thuy Trang Jennie Nguyen
• Tridang Tran Nguyen, PA-C

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.