NPIMap

Individual provider Active NPI

Chidao L Nguyen, DO

  • Hospitalist Physician
  • Westminster, CA
National Provider Identifier
1780850198
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
20A10338 Issued in CA
Practice address
9353 Bolsa Ave
Ste E62
Westminster, CA 92683-5951
Phone
(800) 461-4651
Fax
(714) 333-4838
NPI assigned
May 6, 2008
Last updated
Apr 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A10338 CA
Hospitalist Physician 208M00000X 20A10338 CA Primary

Addresses

Primary practice location

9353 Bolsa Ave
Ste E62
Westminster, CA 92683-5951

Mailing address

9353 Bolsa Ave
Ste E62
Westminster, CA 92683-5951
Phone (800) 461-4651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080613000465 CA Practitioner - Internal Medicine 6406927722 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Western University of Health Sciences College of Dental Med, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9353 Bolsa Ave
Westminster, CA 92683-5951
Phone (714) 751-0995

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
75.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A10338CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Jul 1, 2009 Accepting new patients
Alpha Hospitalist Group Inc Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

17150 Euclid St
Ste 200
Fountain Vly, CA 92708
Phone (714) 751-0995

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

Interoperability endpoints

  • Direct secure messaging: cnguyendo178112@direct.memorialcare.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wecare Hospice and PalliativeStanton, CA, CCN 921583 Hospice 5% Or Greater Direct Ownership Interest (33%)
Corporate Officer (33%)
Corporate Director (33%)
W-2 Managing Employee (33%)		 Jun 28, 2017
Jun 28, 2017
Jun 28, 2017
Jun 28, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Worldwide Hospice Care

    dba WeCARE HOSPICE & PALLIATIVE

    • Community Based Hospice Care Agency
    • Stanton, CA
    • NPI 1629475090

    5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

    CMS ownership

Organizations & group practices 4

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1780850198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9353 BOLSA AVE",
            "address_2": "STE E62",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835951",
            "telephone_number": "800-461-4651",
            "fax_number": "714-333-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9353 BOLSA AVE",
            "address_2": "STE E62",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835951",
            "telephone_number": "800-461-4651",
            "fax_number": "714-333-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHIDAO",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-06",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A10338",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A10338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.