Individual provider Active NPI

Diem Chau Nguyen, MD

  • Psychiatry Physician
  • Culver City, CA
National Provider Identifier
1891221404
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A158446 Issued in CA
Practice address
6167 Bristol Pkwy Ste 260
Culver City, CA 90230-6616
Phone
(424) 331-5604
NPI assigned
May 3, 2017
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A158446 CA Primary

Addresses

Primary practice location

6167 Bristol Pkwy Ste 260
Culver City, CA 90230-6616

Mailing address

6167 Bristol Pkwy Ste 260
Culver City, CA 90230-6616

Other practice location 1

155 N Lake Ave Suite 800
Pasadena, CA 91110-9800
Phone (833) 277-0580

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
I20210505002678 CA Practitioner - Psychiatry 5597174409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of California, Geffen School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Psychiatric Services a Medical GroupGroup PAC ID 0244329969, 74 clinicians

Practice addresses (Care Compare)

6167 Bristol Pkwy
Suite 260
Culver City, CA 90230-6616
Phone (424) 331-5604

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A158446CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oc Progressive Recovery Inc Psychiatry CurrentSince Dec 1, 2021 Accepting new patients
Comprehensive Psychiatric Services, a Medical Group Psychiatry CurrentSince Apr 26, 2021 Accepting new patients

Locations

6167 Bristol Pkwy
Ste 260
Culver City, CA 90230
Phone (424) 331-5604

1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620

155 N Lake Ave
Ste 800
Pasadena, CA 91101
Phone (254) 835-3911

3100 Oak Rd
Ste 270
Walnut Creek, CA 94597
Phone (925) 944-9711

Interoperability endpoints

  • Direct secure messaging: dnguyen135329@direct.llu.edu

Organizations & group practices 2

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": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1891221404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6167 BRISTOL PKWY STE 260",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6167 BRISTOL PKWY STE 260",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306616",
            "telephone_number": "424-331-5604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 N Lake Ave Suite 800",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911109800",
            "country_code": "US",
            "telephone_number": "833-277-0580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DIEM CHAU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A158446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.