Individual provider Active NPI

Roger Linh Nguyen, M.D

  • Allergy Physician
  • Garden Grove, CA
National Provider Identifier
1982625430
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
A68125 Issued in CA
Practice address
9746 Westminster Ave Ste a
Garden Grove, CA 92844-2984
Phone
(714) 638-4433
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X A68125 CA Primary

Addresses

Primary practice location

9746 Westminster Ave Ste a
Garden Grove, CA 92844-2984

Mailing address

9746 Westminster Ave
Ste a
Garden Grove, CA 92844-2984
Phone (562) 682-9826

Other identifiers 1

IdentifierTypeStateIssuer
00A681250MedicaidCA

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
I20050325000426 CA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 3476509100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10800 Paramount Blvd
Suite 102
Downey, CA 90241-3300
Phone (562) 862-1911

9746 Westminster Ave
Suite a
Garden Grove, CA 92844-2984
Phone (714) 638-4433

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A68125CAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Roger L. Nguyen, a Corporation Allergy CurrentSince Jul 5, 2017 Accepting new patients
Dr. Roger Nguyen, a Corporation PastSince Jan 1, 1990 Accepting new patients
Dr. Roger Nguyen, a Corporation Past Accepting new patients

Locations

9746 Westminster Ave
Ste A
Garden Grove, CA 92844
Phone (714) 636-4433

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1982625430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9746 WESTMINSTER AVE",
            "address_2": "STE A",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442984",
            "telephone_number": "562-682-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9746 WESTMINSTER AVE STE A",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442984",
            "telephone_number": "714-638-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ROGER",
        "middle_name": "LINH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "A68125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A681250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.