Individual provider Active NPI

Thang D Nguyen, MD

  • Surgery Physician
  • Fountain Valley, CA
National Provider Identifier
1831279009
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A76049 Issued in CA
Practice address
11190 Warner Ave
#301
Fountain Valley, CA 92708-4047
Phone
(714) 434-0404
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 000000A76049 CA
Surgery Physician 208600000X A76049 CA Primary

Addresses

Primary practice location

11190 Warner Ave
#301
Fountain Valley, CA 92708-4047

Mailing address

11190 Warner Ave
#301
Fountain Valley, CA 92708-4047
Phone (714) 434-0404

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
I20050811000689 CA Practitioner - General Surgery 5799714598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11180 Warner Ave
Suite 353
Fountain Valley, CA 92708-7516
Phone (714) 434-0404

Hospital & facility affiliations

  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Foothill Regional Medical Center Hospital, Tustin, CA, CCN 050780
  • West Anaheim Medical Center Hospital, Anaheim, CA, CCN 050426
  • La Palma Intercommunity Hospital Hospital, La Palma, CA, CCN 050580

Merit-based Incentive Payment System (MIPS)

Final score
98.6 of 100Reported as individual
Quality
77.5
Promoting interoperability
100
Improvement activities
40
Cost
84.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Colonoscopy11
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)23
Coronary artery bypass graft (CABG)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000000A76049CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Group, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tnguyenmd77213@direct.memorialcare.org

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1831279009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE",
            "address_2": "#301",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084047",
            "telephone_number": "714-434-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE",
            "address_2": "#301",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084047",
            "telephone_number": "714-434-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THANG",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "000000A76049",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A76049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.