Individual provider Active NPI

Doanh Andrew Nguyen, M.D.

  • Specialist
  • Fountain Valley, CA
National Provider Identifier
1720090921
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G80814 Issued in CA
Practice address
10760 Warner Ave Ste 201
Fountain Valley, CA 92708-3857
Phone
(714) 593-5356
Fax
(714) 593-5366
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G80814 CA Primary

Addresses

Primary practice location

10760 Warner Ave Ste 201
Fountain Valley, CA 92708-3857

Mailing address

10760 Warner Ave Ste 201
Fountain Valley, CA 92708-3857
Phone (714) 593-5356

Other identifiers 1

IdentifierTypeStateIssuer
00G808140MedicaidCA

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
I20050121000411 CA Practitioner - Pain ManagementPractitioner - Interventional Pain Management 4789633215 Reassigns benefits to 1 organization
Practice locations: Fountain Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of Southern California Keck School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10760 Warner Ave
Suite 201
Fountain Valley, CA 92708-3857
Phone (714) 593-5356

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G80814CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Doanh Andrew Nguyen a Professional Corp Specialist CurrentSince Sep 1, 2022 Accepting new patients

Locations

10760 Warner Ave
Ste 201
Fountain Vly, CA 92708
Phone (714) 593-5356

9500 Bolsa Ave
Ste Ij
Westminster, CA 92683

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: doanhnguyen@hcpca.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1720090921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10760 WARNER AVE STE 201",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083857",
            "telephone_number": "714-593-5356",
            "fax_number": "714-593-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10760 WARNER AVE STE 201",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083857",
            "telephone_number": "714-593-5356",
            "fax_number": "714-593-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DOANH",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G80814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G808140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.