Individual provider Active NPI

Peter Duy-Minh Nguyen-Dang, MD

  • Internal Medicine Physician
  • Westminster, CA
National Provider Identifier
1710449822
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A178332 Issued in CA
Practice address
14536 Brookhurst St Ste 102
Westminster, CA 92683-5788
Phone
(714) 531-2548
NPI assigned
Apr 5, 2019
Last updated
Oct 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A178332 CA Primary

Addresses

Primary practice location

14536 Brookhurst St Ste 102
Westminster, CA 92683-5788

Mailing address

14536 Brookhurst St Ste 102
Westminster, CA 92683-5788
Phone (714) 531-2548

Other practice location 1

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, SD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220901002706 CA Practitioner - Internal Medicine 4688058118 Reassigns benefits to 3 organizations
I20241024001099 SD Practitioner - HospitalistPractitioner - Internal Medicine 4688058118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Socal HospitalistsGroup PAC ID 3274047816, 30 clinicians
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1050 Linden Ave
Long Beach, CA 90813-3321
Phone (562) 491-9469

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.04 of 100Reported as apm
Quality
89.99
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A178332CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Aug 5, 2024 Accepting new patients
Avera McKennan CurrentSince Aug 5, 2024 Accepting new patients
Dat Manh Nguyen M D a Professional Corporation CurrentSince Oct 9, 2022 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Clinic Services of California Medical Group Inc CurrentSince Jul 1, 2022 Accepting new patients
Avera McKennan Current Accepting new patients
Socal Hospitalists Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
St Joseph Hospital of Orange PastSince Oct 9, 2022 Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

21163 Newport Coast Dr
Newport Coast, CA 92657
Phone (949) 233-0361

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

14536 Brookhurst St
Ste 102
Westminster, CA 92683
Phone (714) 531-2548

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

Interoperability endpoints

  • Direct secure messaging: pnguyendang751584@direct.memorialcare.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1710449822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14536 BROOKHURST ST STE 102",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835788",
            "telephone_number": "714-531-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14536 BROOKHURST ST STE 102",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835788",
            "telephone_number": "714-531-2548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Pepper Ave",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923241801",
            "country_code": "US",
            "telephone_number": "909-580-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN-DANG",
        "first_name": "PETER",
        "middle_name": "DUY-MINH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A178332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.