Individual provider Active NPI

Li Nguyen, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Westminster, CA
National Provider Identifier
1902989064
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
G63837 Issued in CA
Practice address
15751 Brookhurst St Ste 118
Westminster, CA 92683-7567
Phone
(714) 775-8728
Fax
(714) 775-2194
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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 G63837 CA Primary

Addresses

Primary practice location

15751 Brookhurst St Ste 118
Westminster, CA 92683-7567

Mailing address

15751 Brookhurst St Ste 105
Westminster, CA 92683-7567
Phone (714) 775-6256

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
I20050526000956 CA Practitioner - Otolaryngology 8628010873 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of California, Geffen School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Douglas a Tran MD IncGroup PAC ID 7012948938, 2 clinicians

Practice addresses (Care Compare)

10760 Warner Ave
Suite 201
Fountain Valley, CA 92708-3857
Phone (714) 593-5356

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas a. Tran, MD Inc. CurrentSince May 12, 2018 Accepting new patients
Li Q. Nguyen, MD Plastic and Reconstructive Surgery CurrentSince Mar 17, 2022 Accepting new patients
Southern California Vein & Wound Care Center Inc. Past Accepting new patients
Yenli Medical Center Past Accepting new patients

Locations

10760 Warner Ave
Ste 201
Fountain Vly, CA 92708
Phone (714) 593-5356

9191 Westminster Ave
Ste 211
Garden Grove, CA 92844
Phone (714) 799-5058

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1902989064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15751 BROOKHURST ST STE 105",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837567",
            "telephone_number": "714-775-6256",
            "fax_number": "714-775-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15751 BROOKHURST ST STE 118",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837567",
            "telephone_number": "714-775-8728",
            "fax_number": "714-775-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "G63837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.