Connie Khanh Nguyen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

000000A61492 Issued in CA

Practice address

15355 Brookhurst St
Suite 102
Westminster, CA 92683-7077

Phone

(714) 775-3057

Fax

(714) 531-1164

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

University of California, Geffen School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Le, Nguyen, Tram, Nguyen and Tran Medical CorporationGroup PAC ID 0345341590, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Network Providers for Home Health, Inc Home health agency, La Palma, CA, CCN 557569
• 24/7 Care at Home - Home Health Home health agency, Westminster, CA, CCN 059110
• Uci Health-Orange Hospital, Orange, CA, CCN 050348
• Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Le, Nguyen, Tram, Nguyen & Tran Medical Corporation

  • Family Medicine Physician
  • Westminster, CA
  • NPI 1093936403
  Medicare reassignment Care Compare group NPD
• Family Choice Aco Inc

  • Internal Medicine Physician
  • Westminster, CA
  • NPI 1396416863
  Medicare reassignment NPD
• University of California Irvine

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  NPD (past)

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

• Network Providers for Home Health Inc

  • Home Health Agency
  • La Palma, CA
  • NPI 1225030463
  Care Compare affiliation
• Orange Coast Memorial Medical Center

  • General Acute Care Hospital
  • Fountain Valley, CA
  • NPI 1497702575
  Care Compare affiliation
• University of California Irvine

  • Urgent Care Clinic/Center
  • Irvine, CA
  • NPI 1518739309

  Hospital

  Care Compare affiliation
• University of California Irvine

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  Care Compare affiliation
• Vina Holdings, Inc.

  • Home Health Agency
  • Westminster, CA
  • NPI 1447448519
  Care Compare affiliation

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1851471023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15355 BROOKHURST ST STE 102",
            "address_2": "SUITE 102",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837071",
            "telephone_number": "714-775-3057",
            "fax_number": "714-531-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15355 BROOKHURST ST",
            "address_2": "SUITE 102",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837077",
            "telephone_number": "714-775-3057",
            "fax_number": "714-531-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CONNIE",
        "middle_name": "KHANH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "000000A61492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A614920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chidao L Nguyen, DO
• Chinh Quoc Nguyen, D.D.S.
• Christina Nguyen, BCBA
• Christopher Dai Nguyen, D.D.S
• Christopher H Nguyen
• Courtney Nguyen
• Cuong Nguyen, D.D.S.
• Cuong Viet Nguyen, MD
• Daniel Nguyen, RPH
• Daniel Dunghuu Nguyen, DC

• Family Medicine Physician in Westminster, CA
• Providers in Westminster, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.