Active NPI
Andrew Minh Nguyen, MD
- Pain Medicine (Anesthesiology) Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- A157196
- Practice address
- 2051 Marengo Street
Ipt C4E100
Los Angeles, CA 90033 - Phone
- (323) 409-7748
- NPI assigned
- Mar 20, 2017
- Last updated
- Aug 3, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A157196 | CA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A157196 | CA | Primary |
Addresses
Primary practice location
2051 Marengo Street
Ipt C4E100
Los Angeles, CA 90033
Mailing address
2051 Marengo St # C4E100
Los Angeles, CA 90033-1352
Phone (323) 409-7748
Other practice location 1
145 Harrison Ave
Boston, MA 02111-1802
Phone (617) 636-6534
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
- Pain Management
- Education
- Tufts University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone (213) 742-5910
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Anesthesia Medical Group Inc | Anesthesiology | Current | Accepting new patients |
| Socal Anesthesia Solutions, Inc | Anesthesiology | Current | Accepting new patients |
| Lacusc Medical Center | Anesthesiology | Past | Accepting new patients |
| Lac Usc Medical Center | Anesthesiology | Past | Accepting new patients |
| Lac Usc | Past | Accepting new patients |
Locations
1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363
18111 Brookhurst St
Fountain Vly, CA 92708
Phone (714) 369-1100
1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555
455 S Main St
Orange, CA 92868
Phone (714) 289-4511
1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810
255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127
999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841
Interoperability endpoints
- anguyen739646@direct.memorialcare.org
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1407596901
-
- Anesthesiology Physician
- Orange, CA
- NPI 1346267267
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1881042141
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1316307341
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1114372570
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1851832190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 MARENGO ST # C4E100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331352",
"telephone_number": "323-409-7748",
"fax_number": "323-441-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 MARENGO STREET",
"address_2": "IPT C4E100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90033",
"telephone_number": "323-409-7748"
}
],
"practiceLocations": [
{
"address_1": "145 Harrison Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021111802",
"country_code": "US",
"telephone_number": "617-636-6534",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "ANDREW",
"middle_name": "MINH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-20",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A157196",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A157196",
"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 Aug 3, 2021; 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.