Individual provider Active NPI

Bryant H Nguyen, MD

  • Cardiovascular Disease Physician
  • La Mesa, CA
National Provider Identifier
1902085426
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A117314 Issued in CA
Practice address
8851 Center Dr
Suite 405
La Mesa, CA 91942-3017
Phone
(619) 567-4050
Fax
(619) 568-3889
NPI assigned
Nov 1, 2007
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A117314 CA
Cardiovascular Disease Physician 207RC0000X A117314 CA Primary
Interventional Cardiology Physician 207RI0011X A117314 CA

Addresses

Primary practice location

8851 Center Dr
Suite 405
La Mesa, CA 91942-3017

Mailing address

PO Box 626
Great River, NY 11739-0626
Phone (631) 892-2745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110815000304 CA Practitioner - Cardiovascular Disease (Cardiology) 4789756545 Reassigns benefits to 9 organizations
I20180921001657 GA Practitioner - Cardiovascular Disease (Cardiology) 4789756545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Georgetown University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Payam Mehranpour IncGroup PAC ID 5294988861, 6 clinicians
Legacy MD Medical Group IncGroup PAC ID 0446619738, shared by 3 NPIs, 12 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 323-6511

222 E Cole Blvd
Suite C
Calexico, CA 92231-3211
Phone (760) 550-1685

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 740-6000

690 Otay Lakes Rd
Suite 120
Chula Vista, CA 91910-8904
Phone (760) 352-2551

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

8851 Ctr Dr
Suite 405
La Mesa, CA 91942-3198
Phone (619) 567-4050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
81.04
Promoting interoperability
99
Improvement activities
40
Cost
82.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A117314CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Valdosta and Lowndes County Georgia Current Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Dec 2, 2014 Accepting new patients
Legacy MD Medical Group Inc CurrentSince Oct 1, 2023 Accepting new patients
Legacy MD Medical Group Inc CurrentSince May 28, 2024 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Internal Medicine CurrentSince Dec 2, 2014 Accepting new patients
Payam Mehranpour, Inc. Cardiovascular Disease CurrentSince Jul 13, 2025 Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia CurrentSince Aug 5, 2018 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 1, 2014 Accepting new patients
Vo Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Hospital Authority of Valdosta and Lowndes County, Georgia CurrentSince Aug 5, 2018 Accepting new patients
Vo Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Imperial Manor Skilled Nursing Inc CurrentSince Aug 10, 2024 Accepting new patients
Mayo Clinic Health System in Waycross, Inc. Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Kenneth H Weisiger MD PC Internal Medicine Past Accepting new patients
San Diego Cardiac Center Medical Group Inc Cardiology PastSince Aug 12, 2024 Accepting new patients

Locations

290 Main St
Brawley, CA 92227
Phone (760) 550-1510

222 E Cole Blvd
Calexico, CA 92231
Phone (760) 550-1685

222 E Cole Blvd
Ste C
Calexico, CA 92231
Phone (760) 550-1685

690 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 421-0444

690 Otay Lakes Rd
Ste 120
Chula Vista, CA 91910
Phone (619) 397-7800

690 Otay Lakes Rd
Ste 125
Chula Vista, CA 91910

1520 S Imperial Ave
El Centro, CA 92243
Phone (760) 550-1685

1590 S Imperial Ave
El Centro, CA 92243
Phone (760) 353-5933

1699 N Imperial Ave
El Centro, CA 92243
Phone (442) 283-3494

81812 Doctor Carreon Blvd
Indio, CA 92201
Phone (760) 775-2225

81812 Doctor Carreon Blvd
Ste E
Indio, CA 92201
Phone (442) 236-1498

81812 Doctor Carreon Blvd
Ste F
Indio, CA 92201
Phone (760) 336-9002

5525 Grossmont Center Dr
Ste 606
La Mesa, CA 91942
Phone (619) 668-4700

8851 Center Dr
Ste 304
La Mesa, CA 91942
Phone (619) 589-9158

8851 Center Dr
Ste 405
La Mesa, CA 91942
Phone (619) 377-6262

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1902085426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "GREAT RIVER",
            "state": "NY",
            "postal_code": "117390626",
            "telephone_number": "631-892-2745",
            "fax_number": "631-201-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR",
            "address_2": "SUITE 405",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423017",
            "telephone_number": "619-567-4050",
            "fax_number": "619-568-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BRYANT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-01",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A117314",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A117314",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A117314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.