Individual provider Active NPI

Tuong C Nguyen, M.D.

  • Surgery Physician
  • Riverside, CA
National Provider Identifier
1831531565
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A167013 Issued in CA
Practice address
7111 Indiana Ave Ste 100
Riverside, CA 92504-4557
Phone
(951) 276-9012
Fax
(951) 276-9163
NPI assigned
Jul 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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 MT203673 PA
Surgery Physician 208600000X A167013 CA Primary

Addresses

Primary practice location

7111 Indiana Ave Ste 100
Riverside, CA 92504-4557

Mailing address

7111 Indiana Ave Ste 100
Riverside, CA 92504-4557
Phone (951) 276-9012

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dndloffice@dndlsurgery.com

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
I20200810000792 CA Practitioner - General SurgeryPractitioner - Vascular Surgery 7911250535 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
University of Wisconsin School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11190 Warner Ave
Suite 408
Fountain Valley, CA 92708-4047
Phone (714) 430-1414

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal45
Leg revascularization (restoring blood flow)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A167013CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Vascular and Endovascular Surgery Center Inc CurrentSince May 20, 2024 Accepting new patients
Nurick Surgical Institute Inc Surgery CurrentSince Aug 17, 2020 Accepting new patients
Dao Medical Group Inc CurrentSince Nov 12, 2021 Accepting new patients
Orange County Vascular & Endovascular Surgery Center, Inc. CurrentSince May 20, 2024 Accepting new patients

Locations

11190 Warner Ave
Ste 408
Fountain Vly, CA 92708
Phone (714) 430-1414

9191 Westminster Ave
Garden Grove, CA 92844
Phone (714) 583-6320

7111 Indiana Ave
Ste 100
Riverside, CA 92504
Phone (951) 276-9012

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.healthtogo.me/fhir/r4/universalehr.dmg
  • Direct secure messaging: tnguyen853207@direct.memorialcare.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1831531565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 INDIANA AVE STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925044557",
            "telephone_number": "951-276-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 INDIANA AVE STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925044557",
            "telephone_number": "951-276-9012",
            "fax_number": "951-276-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TUONG",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-23",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT203673",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A167013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dndloffice@dndlsurgery.com",
            "affiliation": "N",
            "address_1": "7111 Indiana Ave Ste 100",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925044557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.