Active NPI
Jade Khanhngoc Nguyen, MD
- Surgery Physician
- Whittier, CA
National Provider Identifier
1760005581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A190469
- Practice address
- 12462 Putnam St Ste 500
Whittier, CA 90602-1049 - Phone
- (562) 789-5449
- NPI assigned
- May 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A190469 | CA | Primary |
Addresses
Primary practice location
12462 Putnam St Ste 500
Whittier, CA 90602-1049
Mailing address
6917 Sedan Ave
West Hills, CA 91307-2508
Phone (818) 300-7853
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12401 Washington Blvd
Whittier, CA 90602-1006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A190469 | CA | MD | Surgery Physician |
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.
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1760005581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6917 SEDAN AVE",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913072508",
"telephone_number": "818-300-7853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12462 PUTNAM ST STE 500",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906021049",
"telephone_number": "562-789-5449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JADE",
"middle_name": "KHANHNGOC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-27",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A190469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.