Individual provider Active NPI

Paul Hung Nguyen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Indio, CA
National Provider Identifier
1922657485
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5812 Issued in CA
Practice address
82013 Doctor Carreon Blvd Ste H
Indio, CA 92201-5832
Phone
(760) 610-8398
NPI assigned
Sep 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E5812 CA
Foot & Ankle Surgery Podiatrist 213ES0103X 0116033268 VA
Foot & Ankle Surgery Podiatrist 213ES0103X E5812 CA Primary

Addresses

Primary practice location

82013 Doctor Carreon Blvd Ste H
Indio, CA 92201-5832

Mailing address

82013 Doctor Carreon Blvd Ste H
Indio, CA 92201-5832
Phone (760) 610-8398

Other practice location 1

1201 Broad Rock Blvd
Richmond, VA 23249-0001
Phone (804) 675-5000 ext. 6901

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221102003203 CA Practitioner - Podiatry 1456728583 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Wound Care of IndioGroup PAC ID 6901272830, 2 clinicians
Norris Morrison DPM IncGroup PAC ID 3476818170, 3 clinicians

Practice addresses (Care Compare)

18523 Corwin Rd
Suite B
Apple Valley, CA 92307-2300
Phone (706) 906-8371

1881 California Ave
Suite 102
Corona, CA 92881-7299
Phone (951) 735-8806

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue64
Removal of nail tissue670
Removal or shaving of skin growth259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5812CAMDFoot & Ankle Surgery Podiatrist
0116033268VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Limb Salvage Institute Podiatrist Corp Foot & Ankle Surgery CurrentSince Jul 6, 2026 Accepting new patients
Morrison Multi-Specialties Companies Inc CurrentSince Nov 7, 2024 Accepting new patients
Norris Morrison DPM Inc Podiatrist CurrentSince Jun 1, 2024 Accepting new patients
Foot & Wound Care of Indio CurrentSince Aug 1, 2022 Accepting new patients

Locations

18523 Corwin Rd
Ste B
Apple Valley, CA 92307
Phone (619) 287-9730

525 Melissa Ave
Ste A
Barstow, CA 92311
Phone (760) 255-2400

1881 California Ave
Ste 102
Corona, CA 92881
Phone (760) 610-8398

441 W State St
El Centro, CA 92243
Phone (760) 337-2949

82013 Doctor Carreon Blvd
Ste H
Indio, CA 92201
Phone (760) 200-9909

2234 S Euclid Ave
Ste E
Ontario, CA 91762
Phone (760) 496-5180

99 Business Park Dr
Perris, CA 92571
Phone (619) 287-9730

1384 N Waterman Ave
San Bernardino, CA 92404
Phone (760) 496-5180

3633 Camino del Rio S
Ste 300
San Diego, CA 92108
Phone (619) 287-0404

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10718/brand/3/csg/1/fhir/r4
  • Direct secure messaging: paul.nguyen.1@10718.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1567900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1922657485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82013 DOCTOR CARREON BLVD STE H",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015832",
            "telephone_number": "760-610-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82013 DOCTOR CARREON BLVD STE H",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015832",
            "telephone_number": "760-610-8398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Broad Rock Blvd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232490001",
            "country_code": "US",
            "telephone_number": "804-675-5000 x6901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PAUL",
        "middle_name": "HUNG",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-08",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5812",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0116033268",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.