Active NPI
Tony Chien Nguyen, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E41516
- Practice address
- 4761 Hoen Ave
Santa Rosa, CA 95405-7862 - Phone
- (707) 545-0570
- Fax
- (707) 545-0575
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E41516 | CA | Primary |
Addresses
Primary practice location
4761 Hoen Ave
Santa Rosa, CA 95405-7862
Mailing address
5651 Copley Dr
Ste a
San Diego, CA 92111-7903
Phone (858) 262-6343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E45160 | Medicaid | CA |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10243 Genetic Ctr Dr
San Diego, CA 92121-6310
Phone (858) 499-2600
Hospital & facility affiliations
- Grossmont Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 81.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.04
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 23 |
| Removal of nail tissue | 340 |
| Removal or shaving of skin growth | 43 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E41516 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients | |
| Sharp Rees-Stealy Medical Center | Past | Accepting new patients | |
| Northern California Medical Assoc Inc | Past | Accepting new patients | |
| Grossmont Hospital Corporation | Past | Accepting new patients | |
| Sharp Memorial Hospital | Past | Accepting new patients | |
| Northern California Medical Assoc Inc | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
5651 Copley Dr
Ste A
San Diego, CA 92111
Phone (858) 262-6109
10243 Genetic Center Dr
San Diego, CA 92121
Phone (858) 499-2704
Interoperability endpoints
- tnguyen24971@sharphealthcare.direct-ci.com
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
-
- Optometrist
- San Diego, CA
- NPI 1063172351
-
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
- Cardiovascular Disease Physician
- Lakeport, CA
- NPI 1235138926
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- Physical Therapist
- Chula Vista, CA
- NPI 1407096589
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588636800000",
"number": "1922136647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5651 COPLEY DR",
"address_2": "STE A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921117903",
"telephone_number": "858-262-6343",
"fax_number": "858-262-6787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4761 HOEN AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954057862",
"telephone_number": "707-545-0570",
"fax_number": "707-545-0575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TONY",
"middle_name": "CHIEN",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E41516",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E45160",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.