Active NPI
Minh Cao Nguyen, M.D.
- Psychiatry Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 125388
- Practice address
- 1100 N State St
Attn: Opd: Penny Pourat
Los Angeles, CA 90033-5000 - Phone
- (323) 226-5555
- NPI assigned
- Jul 5, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 125388 | CA | Primary |
Addresses
Primary practice location
1100 N State St
Attn: Opd: Penny Pourat
Los Angeles, CA 90033-5000
Mailing address
1200 N State St
Los Angeles, CA 90033-1029
Phone (323) 226-5555
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
- Psychiatry
- Education
- University of California, Geffen School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The West Texas Rehabilitation Center
Practice addresses (Care Compare)
2523 El Portal Dr
San Pablo, CA 94806-3305
Phone (510) 215-3730
4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125388 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contra Costa County | Current | Accepting new patients | |
| Contra Costa County | Current | Accepting new patients | |
| Contra Costa County | Current | Accepting new patients | |
| Goldencast Medical Corporation | Past | Accepting new patients |
Locations
2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730
13585 San Pablo Ave
Fl 2
San Pablo, CA 94806
Phone (510) 942-4700
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.
-
dba West County Adult Mental Health Services
- Adult Mental Health Clinic/Center
- San Pablo, CA
- NPI 1376620336
-
dba Older Adult Mental Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Concord, CA
- NPI 1205152782
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1952550097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388620800000",
"number": "1851731889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N STATE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331029",
"telephone_number": "323-226-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N STATE ST",
"address_2": "ATTN: OPD: PENNY POURAT",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335000",
"telephone_number": "323-226-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MINH",
"middle_name": "CAO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-05",
"last_updated": "2014-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "125388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 2, 2014; 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.