Individual provider Active NPI

Albert Q Nguyen, DO, MPH

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1740503788
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.130239 Issued in IL
Practice address
2913 N Commonwealth Ave
5TH Floor
Chicago, IL 60657-6211
Phone
(773) 665-9956
Fax
(773) 665-3408
NPI assigned
Mar 4, 2010
Last updated
May 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036.130239 IL Primary

Addresses

Primary practice location

2913 N Commonwealth Ave
5TH Floor
Chicago, IL 60657-6211

Mailing address

2913 N Commonwealth Ave
5TH Floor
Chicago, IL 60657-6211
Phone (773) 665-9956

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
I20220627001399 CA Practitioner - Psychiatry 2961643812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York College of Osteo Medicine of New York Institute of Technology, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Santa CruzGroup PAC ID 7618872912, 65 clinicians

Practice addresses (Care Compare)

1400 Emeline Ave
Santa Cruz, CA 95060-1976
Phone (831) 454-4971

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.130239ILMDPsychiatry Physician
17959CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Diego Current Accepting new patients
County of San Diego CurrentSince Feb 1, 2022 Accepting new patients
County of San Diego CurrentSince Feb 1, 2022 Accepting new patients
County of Santa Cruz CurrentSince Mar 16, 2024 Accepting new patients
County of Santa Cruz CurrentSince Mar 16, 2024 Accepting new patients

Locations

1000 Broadway
Ste 210
El Cajon, CA 92021
Phone (619) 401-5500

1250 Morena Blvd
San Diego, CA 92110
Phone (619) 692-8715

3177 Ocean View Blvd
San Diego, CA 92113
Phone (619) 231-9300

3853 Rosecrans St
San Diego, CA 92110
Phone (619) 615-0439

1400 Emeline Ave
Santa Cruz, CA 95060
Phone (831) 454-4900

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": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1740503788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 N COMMONWEALTH AVE",
            "address_2": "5TH FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576211",
            "telephone_number": "773-665-9956",
            "fax_number": "773-665-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 N COMMONWEALTH AVE",
            "address_2": "5TH FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576211",
            "telephone_number": "773-665-9956",
            "fax_number": "773-665-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ALBERT",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "DO, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-04",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.130239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.