Active NPI
Khai Nguyen, MD
- Psychiatry Physician
- Patton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A151492
- Practice address
- 3102 E Highland Ave
Patton, CA 92369-7813 - Phone
- (951) 840-5836
- NPI assigned
- Nov 19, 2014
- Last updated
- Apr 27, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A151492 | CA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | A151492 | CA |
Addresses
Primary practice location
3102 E Highland Ave
Patton, CA 92369-7813
Mailing address
3870 La Sierra Ave # 1144
Riverside, CA 92505-3528
Phone (951) 840-5836
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
- Psychiatry
- Education
- University of California, Davis School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1225 W 190TH St
Suite 280
Gardena, CA 90248-4305
Phone (877) 515-8113
3102 E Highland Ave
Patton, CA 92369-7813
Phone (916) 651-8811
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A151492 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of State Hospitals | Current | Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients | |
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
| Department of State Hospitals | Current | Accepting new patients | |
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
| Ehab Yacoub MD Inc. | Child & Adolescent Psychiatry | Current | Accepting new patients |
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
| Riverside County Regional Medical Center | Past | Accepting new patients | |
| University of California, Health Riverside | Past | Accepting new patients |
Locations
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400
1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929
3102 E Highland Ave
Patton, CA 92369
Phone (909) 425-7000
1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805
2033 Gateway Pl
Fl 5
San Jose, CA 95110
Phone (408) 290-9118
Interoperability endpoints
- knguyen101398@direct.llu.edu
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Coalinga State Hospital
- Psychiatric Hospital
- Coalinga, CA
- NPI 1124078704
-
dba Brain Health USA
- Child & Adolescent Psychiatry Physician
- Gardena, CA
- NPI 1417373713
-
- Psychiatry Physician
- Santa Maria, CA
- NPI 1538757232
-
- Psychiatry Physician
- Indio, CA
- NPI 1144195926
-
- Psychiatry Physician
- Colton, CA
- NPI 1306408000
-
dba Department of State Hospitals - Patton
- Psychiatric Hospital
- Patton, CA
- NPI 1043249204
-
dba Department of State Hospitals-Atascadero
- Psychiatric Hospital
- Atascadero, CA
- NPI 1174573802
-
- Psychiatric Hospital
- Riverside, CA
- NPI 1336384353
-
- Pediatrics Physician
- La Quinta, CA
- NPI 1902450810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1992102990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3870 LA SIERRA AVE # 1144",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053528",
"telephone_number": "951-840-5836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3102 E HIGHLAND AVE",
"city": "PATTON",
"state": "CA",
"postal_code": "923697813",
"telephone_number": "951-840-5836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KHAI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-19",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A151492",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A151492",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Patton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.