Individual provider Active NPI

Quan Hoang Nguyen, M.D.

  • Specialist
  • Fountain Valley, CA
National Provider Identifier
1760402770
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G071956 Issued in CA
Practice address
10175 Slater Ave Ste 100
Fountain Valley, CA 92708-4702
Phone
(714) 979-9911
Fax
(714) 979-9912
NPI assigned
Jul 20, 2006
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G071956 CA Primary

Addresses

Primary practice location

10175 Slater Ave Ste 100
Fountain Valley, CA 92708-4702

Mailing address

10175 Slater Ave Ste 100
Fountain Valley, CA 92708-4702
Phone (714) 979-9911

Other identifiers 2

IdentifierTypeStateIssuer
G071956OtherCALICENSE
05D0959784OtherCACLIA

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
I20120313000170 CA Practitioner - Dermatology 5890680755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Geffen School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10175 Slater Ave
Suite 100
Fountain Valley, CA 92708-4702
Phone (714) 979-9911

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision72
Removal of skin lesions1538
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G071956CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Uci Department of Dermatology Dermatology PastSince Apr 17, 2017 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1760402770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 SLATER AVE STE 100",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084702",
            "telephone_number": "714-979-9911",
            "fax_number": "714-979-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 SLATER AVE STE 100",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084702",
            "telephone_number": "714-979-9911",
            "fax_number": "714-979-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "QUAN",
        "middle_name": "HOANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G071956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G071956",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0959784",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.