Individual provider Active NPI

Luc Sinh Nguyen, M.D.

  • Cardiovascular Disease Physician
  • Westminster, CA
National Provider Identifier
1720083181
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G66417 Issued in CA
Practice address
14571 Magnolia St
Ste 208
Westminster, CA 92683-5576
Phone
(714) 438-0082
Fax
(714) 438-0072
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G66417 CA
Clinical Cardiac Electrophysiology Physician 207RC0001X G66417 CA
Cardiovascular Disease Physician 207RC0000X G66417 CA Primary

Addresses

Primary practice location

14571 Magnolia St
Ste 208
Westminster, CA 92683-5576

Mailing address

14571 Magnolia St
Ste 208
Westminster, CA 92683-5576
Phone (714) 438-0082

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
I20041115000945 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - General Practice 0143284810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: General Practice
Education
University of Missouri, Columbia School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14571 Magnolia St
Suite 208
Westminster, CA 92683-5576
Phone (714) 438-0082

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G66417CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Coast Memorial Medical Center Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients

Organizations & group practices 4

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.

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1720083181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14571 MAGNOLIA ST",
            "address_2": "STE 208",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835576",
            "telephone_number": "714-438-0082",
            "fax_number": "714-438-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14571 MAGNOLIA ST",
            "address_2": "STE 208",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835576",
            "telephone_number": "714-438-0082",
            "fax_number": "714-438-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LUC",
        "middle_name": "SINH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G66417",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "G66417",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G66417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.