Individual provider Active NPI

Duke Nguyen, M.D.

  • Diagnostic Radiology Physician
  • Santa Ana, CA
National Provider Identifier
1700822962
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G83370 Issued in CA
Practice address
1100 N Tustin Ave
Santa Ana, CA 92705-3509
Phone
(714) 835-6055
Fax
(714) 835-3287
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X G83370 CA
Diagnostic Radiology Physician 2085R0202X G83370 CA Primary
Diagnostic Ultrasound Physician 2085U0001X G83370 CA

Addresses

Primary practice location

1100 N Tustin Ave
Santa Ana, CA 92705-3509

Mailing address

12 Hubbard Way
Coto de Caza, CA 92679-5138
Phone (714) 835-3709

Other identifiers 1

IdentifierTypeStateIssuer
00G833700MedicaidCA

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
I20051115000714 CA Practitioner - Diagnostic Radiology 0143129601 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beverly Radiology Medical Group IIIGroup PAC ID 3476466376, 327 clinicians

Practice addresses (Care Compare)

1100 N Tustin Ave
Suite a
Santa Ana, CA 92705-3509
Phone (714) 835-6055

1441 Avocado Ave
Suite 301
Newport Beach, CA 92660-7704
Phone (310) 445-2843

16130 Ventura Blvd
Suite 100
Encino, CA 91436-2517
Phone (818) 933-2020

16300 Sand Canyon Ave
Suite 102
Irvine, CA 92618-3704
Phone (949) 753-0900

17762 Beach Blvd
Suite 110
Huntington Beach, CA 92647-6860
Phone (585) 218-8007

18785 Brookhurst St
Suite 102
Fountain Valley, CA 92708-7300
Phone (714) 417-9950

230 S Main St
Orange, CA 92868-3851

23961 Calle de la Magdalena
Suite 243
Laguna Hills, CA 92653-3600
Phone (949) 272-2202

26161 Marguerite Pkwy
Suite a
Mission Viejo, CA 92692-3162
Phone (714) 784-1643

2708 E Willow St
Signal Hill, CA 90755-2217
Phone (562) 216-5120

3300 W Coast Hwy
Suite B
Newport Beach, CA 92663-4025
Phone (949) 726-9100

3320 N Los Coyotes Diagonal
Suite 112260
Long Beach, CA 90808-3918
Phone (562) 627-0903

3320 N Los Coyotes Diagonal
Suite 120
Long Beach, CA 90808-3936
Phone (562) 627-0903

408 S Beach Blvd
Suite 106
Anaheim, CA 92804-1873
Phone (714) 995-5471

490 Paulette PL
La Canada, CA 91011-2728
Phone (585) 218-8005

6440 S St
Lakewood, CA 90713-1713
Phone (562) 299-6230

675 Camino de Los Mares
Suite 101
San Clemente, CA 92673-2836
Phone (949) 493-8799

8135 Painter Ave
Suite 101
Whittier, CA 90602-3160
Phone (562) 464-0039

8750 Wilshire Blvd
Suite 100
Beverly Hills, CA 90211-2708
Phone (310) 689-3100

9191 Westminster
Ave 210
Garden Grove, CA 92844-2751
Phone (714) 784-1657

9191 Westminster Ave
Garden Grove, CA 92844-2751
Phone (714) 784-1657

947 S Anaheim Blvd
Anaheim, CA 92805-5582
Phone (714) 758-9800

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G83370CAMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Dec 17, 2017 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jan 23, 2018 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jan 23, 2018 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Apr 22, 2014 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Dec 20, 2017 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Dec 20, 2017 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Dec 20, 2017 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Dec 20, 2017 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Dec 20, 2017 Accepting new patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology CurrentSince Dec 20, 2017 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Jan 16, 2018 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Apr 22, 2014 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients
Santa Ana Tustin Radiology Medical Group Body Imaging Past Accepting new patients

Locations (25 of 31)

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

1510 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2851

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

157 E Coolidge Ave
Modesto, CA 95350
Phone (209) 524-6800

25395 Hancock Ave
Ste 110
Murrieta, CA 92562
Phone (951) 696-4230

3909 Waring Rd
Ste Bc
Oceanside, CA 92056
Phone (760) 630-0014

72855 Fred Waring Dr
Palm Desert, CA 92260
Phone (760) 837-1420

2601 E Tahquitz Canyon Way
Palm Springs, CA 92262
Phone (760) 318-2980

8283 Grove Ave
Ste 101
Rch Cucamonga, CA 91730
Phone (909) 982-8638

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1700822962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HUBBARD WAY",
            "city": "COTO DE CAZA",
            "state": "CA",
            "postal_code": "926795138",
            "telephone_number": "714-835-3709",
            "fax_number": "714-835-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053509",
            "telephone_number": "714-835-6055",
            "fax_number": "714-835-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DUKE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "G83370",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G83370",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "G83370",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G833700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.