Individual provider Active NPI

Huynh Ngoc Tu Nguyen, NP

  • Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1750932141
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95106013 Issued in CA
Practice address
9041 Magnolia Ave Ste 302
Riverside, CA 92503-3957
Phone
(951) 637-9999
Fax
(951) 637-9988
NPI assigned
Sep 26, 2019
Last updated
Dec 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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 95106013 CA Primary
Gerontology Nurse Practitioner 363LG0600X 95106013 CA

Addresses

Primary practice location

9041 Magnolia Ave Ste 302
Riverside, CA 92503-3957

Mailing address

9041 Magnolia Ave Ste 302
Riverside, CA 92503-3957
Phone (951) 637-9999

Other practice location 1

1033 N Waterman Ave Ste E
San Bernardino, CA 92410-3808
Phone (951) 637-9999

Other practice location 2

5050 Palo Verde St Ste 203
Montclair, CA 91763-2334
Phone (951) 637-9999

Other names 1

  • Tungoc Nguyen Huynh Other name

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
I20191127001279 CA Practitioner - Nurse Practitioner 3971936204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

437 N Euclid Ave
Ontario, CA 91762-3456
Phone (909) 988-2555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95106013CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
365 Mdcare Inc CurrentSince Sep 3, 2019 Accepting new patients
Unicare Community Health Center, Inc. CurrentSince May 27, 2022 Accepting new patients
Unicare Community Health Center Inc Current Accepting new patients

Locations

5050 Palo Verde St
Ste 203
Montclair, CA 91763
Phone (951) 637-9999

437 N Euclid Ave
Ontario, CA 91762
Phone (909) 749-1835

9041 Magnolia Ave
Ste 302
Riverside, CA 92503
Phone (562) 349-0030

1033 N Waterman Ave
Ste E
San Bernardino, CA 92410
Phone (909) 383-9385

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1750932141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 MAGNOLIA AVE STE 302",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033957",
            "telephone_number": "951-637-9999",
            "fax_number": "951-637-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9041 MAGNOLIA AVE STE 302",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033957",
            "telephone_number": "951-637-9999",
            "fax_number": "951-637-9988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1033 N Waterman Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924103808",
            "country_code": "US",
            "telephone_number": "951-637-9999",
            "fax_number": "951-637-9988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5050 Palo Verde St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "CA",
            "postal_code": "917632334",
            "country_code": "US",
            "telephone_number": "951-637-9999",
            "fax_number": "951-637-9988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HUYNH NGOC TU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95106013",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95106013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TUNGOC",
            "last_name": "HUYNH",
            "middle_name": "NGUYEN",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.