Active NPI
John Nguyen, M.D.
- Anesthesiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A106896
- Practice address
- 1200 N State St # 14901
Los Angeles, CA 90033-1029 - Phone
- (818) 473-0006
- Fax
- (714) 740-5032
- NPI assigned
- Mar 9, 2009
- Last updated
- Mar 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A106896 | CA | |
| Anesthesiology Physician | 207L00000X | A106896 | CA | Primary |
Addresses
Primary practice location
1200 N State St # 14901
Los Angeles, CA 90033-1029
Mailing address
1401 N Huron Dr
Santa Ana, CA 92706-3133
Other names 1
- Johnkim Nguyen
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
- Anesthesiology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 W 7TH St
San Pedro, CA 90732-3505
Phone (310) 832-3311
4101 Torrance Blvd
Torrance, CA 90503-4607
Phone (310) 540-7676
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A106896 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Bay Anesthesia Medical Group Inc. | Anesthesiology | Current | Accepting new patients |
| Professional Anesthesia Associates PC | Anesthesiology | Current | Accepting new patients |
Locations
514 N Prospect Ave
Ste 100
Redondo Beach, CA 90277
Phone (310) 376-2007
1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350
23500 Madison St
Torrance, CA 90505
Phone (310) 539-5120
4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Riverside Heights Healthcare Center LLC | Skilled nursing facility | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Apr 1, 2015 Apr 1, 2015 |
| Griffith Park Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (10%) Corporate Director (10%) |
Jun 30, 2015 Jun 30, 2015 |
| Santa Fe Heights Healthcare Center LLC | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (20%) | Aug 15, 2024 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Glendale, CA
- NPI 1922482678
5% Or Greater Direct Ownership Interest, Corporate Director
-
- Skilled Nursing Facility
- Riverside, CA
- NPI 1083006712
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Skilled Nursing Facility
- Compton, CA
- NPI 1356716815
5% Or Greater Indirect Ownership Interest
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.
-
- Anesthesiology Physician
- San Pedro, CA
- NPI 1932742905
-
- Anesthesiology Physician
- Torrance, CA
- NPI 1073531836
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Little Company of Mary Medical Center Torrance
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1770724544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 N HURON DR",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927063133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N STATE ST # 14901",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331029",
"telephone_number": "818-473-0006",
"fax_number": "714-740-5032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-09",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A106896",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A106896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOHNKIM",
"last_name": "NGUYEN",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.