Active NPI
Diem Chau Nguyen, MD
- Psychiatry Physician
- Culver City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A158446
- 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, 2021
- Sex
- Female
- 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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A158446 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oc Progressive Recovery Inc | Psychiatry | Current | Accepting new patients |
| Comprehensive Psychiatric Services, a Medical Group | Psychiatry | Current | 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
- 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.
-
- Psychiatry Physician
- Walnut Creek, CA
- NPI 1184785834
-
- Psychiatry Physician
- Orange, CA
- NPI 1003340217
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.