Individual provider Active NPI

Doan Thuy Duc Nguyen

  • Nurse Practitioner
  • Santa Monica, CA
National Provider Identifier
1710566047
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95015981 Issued in CA
Practice address
2020 Santa Monica Blvd Ste 510
Santa Monica, CA 90404-2131
Phone
(310) 917-3376
NPI assigned
Apr 5, 2021
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95015981 CA Primary
Dermatology Physician 207N00000X 95015981 CA

Addresses

Primary practice location

2020 Santa Monica Blvd Ste 510
Santa Monica, CA 90404-2131

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707

Other practice location 1

2001 Santa Monica Blvd Ste 1070
Santa Monica, CA 90404-2202
Phone (310) 917-3376

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210517002733 CA Practitioner - Nurse Practitioner 5698184943 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 8426956160, 33 clinicians

Practice addresses (Care Compare)

100 Medical Plaza
Suite 216
Los Angeles, CA 90095-0001
Phone (310) 206-8662

200 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 825-6911

2001 Santa Monica Blvd
Suite 1070
Santa Monica, CA 90404-2202
Phone (310) 315-7900

2020 Santa Monica Blvd
Suite 510
Santa Monica, CA 90404-2131
Phone (310) 582-6360

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
89.72
Promoting interoperability
100
Improvement activities
40
Cost
67.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95015981CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California CurrentSince Aug 1, 2023 Accepting new patients
Zeam Medical Group Inc CurrentSince Aug 1, 2021 Accepting new patients
The Regents of the University of California Dermatology CurrentSince Aug 1, 2023 Accepting new patients
The Regents of the University of California CurrentSince Aug 1, 2023 Accepting new patients
UCLA Medical Group Dermatology Past Accepting new patients

Locations

193 Blue Ravine Rd
Ste 170
Folsom, CA 95630
Phone (916) 608-0714

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

200 Medical Plz
Ste 465
Los Angeles, CA 90095
Phone (310) 825-5510

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 55737
Los Angeles, CA 90074

508 Gibson Dr
Ste 150
Roseville, CA 95678
Phone (916) 608-0714

2001 Santa Monica Blvd
Ste 1070
Santa Monica, CA 90404
Phone (310) 315-7900

2001 Santa Monica Blvd
Ste 1090
Santa Monica, CA 90404
Phone (310) 582-7474

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

2020 Santa Monica Blvd
Ste 510
Santa Monica, CA 90404
Phone (310) 633-8400

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1710566047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SANTA MONICA BLVD STE 510",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042131",
            "telephone_number": "310-917-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Santa Monica Blvd Ste 1070",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042202",
            "country_code": "US",
            "telephone_number": "310-917-3376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DOAN THUY",
        "middle_name": "DUC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95015981",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "95015981",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.