Kimanh Duong Nguyen, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

A120362 Issued in CA

Practice address

600 South San Vicente Blvd
Los Angeles, CA 90048

Phone

(310) 873-3312

Fax

(424) 270-1313

NPI assigned

Mar 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Otolaryngology

Education

Johns Hopkins University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apex Multispecialty Medical Group IncGroup PAC ID 3375978497, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Apex Multispecialty Medical Group, Inc

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1023672367
  Medicare reassignment Care Compare group NPD
• Daniel Ling MD Inc

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1437562170
  Medicare reassignment NPD
• Dignity Community Care

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  NPD (past)

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1730359258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 NORTH MAPLE DRIVE",
            "address_2": "#17098",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90209",
            "telephone_number": "310-873-3312",
            "fax_number": "424-270-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SOUTH SAN VICENTE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "310-873-3312",
            "fax_number": "424-270-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KIMANH",
        "middle_name": "DUONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A120362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khanh Ngoc Thi Nguyen
• Khoa Dinh Nguyen, MD
• Kim Dung Le Nguyen, MD
• Kim Tho Thi Nguyen, PHARMD
• Kim-Lien T Nguyen, MD
• Kirsten Nguyen
• Kristin Janvier Nguyen, OTR/L
• Kristy Tram Nguyen
• Krystal Nguyen
• Krystal Diem Trang Nguyen, O.D.

• Otolaryngology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.