Individual provider Active NPI

Thien-Trang Joanna Nguyen, M.D.

  • Plastic and Reconstructive Surgery Physician
  • West Hollywood, CA
National Provider Identifier
1871843243
Registry record updated Jul 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
A124152 Issued in CA
Practice address
9201 W Sunset Blvd Ste 718
West Hollywood, CA 90069-3708
Phone
(310) 737-8592
NPI assigned
Sep 13, 2012
Last updated
Jul 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X A124152 CA Primary

Addresses

Primary practice location

9201 W Sunset Blvd Ste 718
West Hollywood, CA 90069-3708

Mailing address

9201 W Sunset Blvd Ste 718
West Hollywood, CA 90069-3708
Phone (310) 737-8592

Other practice location 1

5161 Beach Blvd Ste A
Buena Park, CA 90621-1171
Phone (714) 988-7927

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
I20171031000474 CA Practitioner - Plastic and Reconstructive Surgery 7810282019 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Miami, LM Miller School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgecrest Regional HospitalGroup PAC ID 9739099896, shared by 9 NPIs, 94 clinicians

Practice addresses (Care Compare)

105 E Sydnor Ave
Suite 100
Ridgecrest, CA 93555-5546
Phone (760) 446-6404

9201 W Sunset Blvd
Suite 718
Los Angeles, CA 90069-3708
Phone (310) 737-8592

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A124152CAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgecrest Regional Hospital CurrentSince May 1, 2021 Accepting new patients
Ridgecrest Regional Hospital Current Accepting new patients
Ridgecrest Regional Hospital CurrentSince May 1, 2021 Accepting new patients
Joanna Nguyen, MD Inc Plastic Surgery CurrentSince May 25, 2017 Accepting new patients
Ridgecrest Regional Hospital Plastic and Reconstructive Surgery Past Accepting new patients

Locations

4220 W 3rd St
Ste 102
Los Angeles, CA 90020
Phone (213) 384-0199

105 E Sydnor Ave
Ste 100
Ridgecrest, CA 93555
Phone (760) 446-6404

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

1111 N China Lake Blvd
#220
Ridgecrest, CA 93555
Phone (760) 446-8100

9201 W Sunset Blvd
Ste 718
West Hollywood, CA 90069
Phone (310) 737-8592

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: thientrangjoannanguyen@rrh.medalliesdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563062400000",
    "number": "1871843243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 718",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693708",
            "telephone_number": "310-737-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 718",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693708",
            "telephone_number": "310-737-8592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5161 Beach Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Buena Park",
            "state": "CA",
            "postal_code": "906211171",
            "country_code": "US",
            "telephone_number": "714-988-7927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THIEN-TRANG",
        "middle_name": "JOANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2019-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A124152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.