Active NPI
Thuan Nguyen
- Internal Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20A17572
- Practice address
- 1225 Wilshire Blvd
Los Angeles, CA 90017-1901 - Phone
- (213) 977-2121
- Fax
- (213) 482-2770
- NPI assigned
- Jun 26, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DOR-339 | HI | |
| Internal Medicine Physician | 207R00000X | 20A17572 | CA | Primary |
Addresses
Primary practice location
1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Mailing address
91-923 Pailani St
Ewa Beach, HI 96706-2225
Phone (808) 425-2451
Other practice location 1
401 W Poplar St
Walla Walla, WA 99362-2846
Phone (509) 897-2980
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tnguyen934712@wm.providencedirect.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (213) 977-2121
12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339
3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone (818) 528-1044
Hospital & facility affiliations
- Pih Health Good Samaritan Hospital
- Pih Health Good Samaritan Hospital D/P SNF
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17572 | CA | MD | Dentist |
| 20A17572 | CA | MD | Internal Medicine Physician |
| DOR-339 | HI | MD | Internal Medicine Physician |
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Epic Medical Group,Inc | Internal Medicine | Current | Accepting new patients |
| Pih Health Physicians | Current | Accepting new patients | |
| Providence Health & Services - Washington | Internal Medicine | Current | Accepting new patients |
| Senior Care Clinic a Medical Corporation | Current | Accepting new patients |
Locations
501 W Glenoaks Blvd
Ste 26
Glendale, CA 91202
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
1700 E Cesar E Chavez Ave
Ste 3900
Los Angeles, CA 90033
Phone (323) 307-0800
1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741
3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420
4940 Van Nuys Blvd
Ste 200
Sherman Oaks, CA 91403
Phone (818) 528-1222
16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222
401 W Poplar St
Walla Walla, WA 99362
Phone (509) 522-5731
380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Sherman Oaks, CA
- NPI 1295178689
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
- Geriatric Medicine (Internal Medicine) Physician
- Los Angeles, CA
- NPI 1942354857
-
- Family Medicine Physician
- Downey, CA
- NPI 1265951099
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
-
- Family Medicine Physician
- Walla Walla, WA
- NPI 1922259738
Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1083895627
Nursing home
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664064000000",
"number": "1982086898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-923 PAILANI ST",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967062225",
"telephone_number": "808-425-2451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171901",
"telephone_number": "213-977-2121",
"fax_number": "213-482-2770"
}
],
"practiceLocations": [
{
"address_1": "401 W Poplar St",
"address_purpose": "LOCATION",
"city": "Walla Walla",
"state": "WA",
"postal_code": "993622846",
"country_code": "US",
"telephone_number": "509-897-2980",
"fax_number": "509-897-5184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "THUAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-26",
"last_updated": "2022-09-25",
"certification_date": "2022-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "DOR-339",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A17572",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tnguyen934712@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "401 W Poplar St",
"city": "Walla Walla",
"state": "WA",
"country_code": "US",
"postal_code": "993622846",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2022; 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.