Individual provider Active NPI

Charles Tuan-Tu Song Nguyen, MD

  • Psychiatry Physician
  • Irvine, CA
National Provider Identifier
1942380118
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
000000A69542 Issued in CA
Practice address
3 Salton
Irvine, CA 92602-2425
Phone
(909) 610-9524
Fax
(909) 367-2922
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 000000A69542 CA Primary

Addresses

Primary practice location

3 Salton
Irvine, CA 92602-2425

Mailing address

5901 E 7TH St
Long Beach, CA 90822-5201
Phone (562) 826-8000

Other practice location 1

5901 E 7th St
Long Beach, CA 90822-5201
Phone (562) 826-8000

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
I20050915001194 CA Practitioner - PsychiatryPractitioner - Neuropsychiatry 4688607906 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neuropsychiatry
Education
Irvine California College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mind Space Mental Health IncGroup PAC ID 8527597285, 2 clinicians
Oc Geropsychiatric Medical GroupGroup PAC ID 0648711168, 5 clinicians
Pacific Health Education Cognitive Center IncGroup PAC ID 4880934603, 2 clinicians

Practice addresses (Care Compare)

31852 Coast Hwy
Laguna Beach, CA 92651-6764
Phone (909) 610-9524

35410 Del Rey
Dana Point, CA 92624-1814
Phone (949) 496-5786

5300 California Ave
Suite 220
Bakersfield, CA 93309-1644
Phone (661) 282-9027

875 N Brea Blvd
Brea, CA 92821-2606
Phone (714) 672-7200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000000A69542CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central City Community Health Center Inc Current Accepting new patients
Oc Geropsychiatric Medical Group CurrentSince Jun 1, 2024 Accepting new patients
Pacific Health Education Cognitive Center, Inc CurrentSince Feb 1, 2023 Accepting new patients
Central City Community Health Center Inc CurrentSince Jan 1, 2020 Accepting new patients
Etc Consultants Inc Psychiatry CurrentSince Oct 8, 2008 Accepting new patients
Mind Space Mental Health Inc Psychiatry CurrentSince Dec 1, 2024 Accepting new patients
Central City Community Health Center Inc CurrentSince Jan 1, 2020 Accepting new patients
Hoag Hospital Past Accepting new patients

Locations

2237 W Ball Rd
Anaheim, CA 92804
Phone (714) 490-2750

5300 California Ave
Ste 220
Bakersfield, CA 93309
Phone (661) 282-9027

5300 California Ave
Ste 400
Bakersfield, CA 93309
Phone (661) 282-9027

5300 California Ave
Ste 100
Bakersfield, CA 93309
Phone (661) 974-1759

875 N Brea Blvd
Ste 600
Brea, CA 92821

875 N Brea Blvd
Brea, CA 92821
Phone (714) 529-6842

3151 Airway Ave
Ste T3
Costa Mesa, CA 92626
Phone (760) 898-1102

35410 Del Rey
Dana Point, CA 92624
Phone (661) 334-2200

31852 Coast Hwy
Ste 400
Laguna Beach, CA 92651
Phone (909) 610-9524

2019 Saturn St
Monterey Park, CA 91755
Phone (323) 724-0019

1860 Hamner Ave
Norco, CA 92860
Phone (951) 479-0070

1 Amistad Dr
Rancho Mission Viejo, CA 92694
Phone (949) 443-8900

6000 Camino Real
Riverside, CA 92509
Phone (951) 360-0000

12116 Beach Blvd
Stanton, CA 90680
Phone (714) 498-2222

16478 Beach Blvd
Westminster, CA 92683
Phone (714) 596-1137

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1942380118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908225201",
            "telephone_number": "562-826-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SALTON",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022425",
            "telephone_number": "909-610-9524",
            "fax_number": "909-367-2922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908225201",
            "country_code": "US",
            "telephone_number": "562-826-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHARLES TUAN-TU",
        "middle_name": "SONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "000000A69542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.