Individual provider Active NPI

Huong Quynh Nguyen, M.D.

  • Internal Medicine Physician
  • Corona, CA
National Provider Identifier
1992199343
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A145864 Issued in CA
Practice address
341 Magnolia Ave Ste 201
Corona, CA 92879-3332
Phone
(951) 735-6969
Fax
(951) 735-8560
NPI assigned
Mar 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X A145864 CA Primary

Addresses

Primary practice location

341 Magnolia Ave Ste 201
Corona, CA 92879-3332

Mailing address

341 Magnolia Ave Ste 201
Corona, CA 92879-3332
Phone (951) 735-6969

Other practice location 1

27309 Madison Ave
Temecula, CA 92590-5685
Phone (866) 984-7483

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20180612002316 CA Practitioner - Internal Medicine 0446535405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Creighton University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aspen Medical Group IncGroup PAC ID 3072500701, 3 clinicians

Practice addresses (Care Compare)

9041 Magnolia Ave
Suite 305
Riverside, CA 92503-3957
Phone (951) 343-3477

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A145864CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Medical Group, Inc. Internal Medicine CurrentSince Oct 7, 2022 Accepting new patients
Aspen Medical Group, Inc. Internal Medicine CurrentSince Oct 7, 2022 Accepting new patients
Southern California Permanente Medical Group CurrentSince Apr 24, 2018 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Aspen Medical Group, Inc Internal Medicine Past Accepting new patients

Locations

341 Magnolia Ave
Ste 201
Corona, CA 92879
Phone (951) 735-6969

4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784

4733 W Sunset Blvd
Fl 3
Los Angeles, CA 90027
Phone (323) 783-1431

11441 Heacock St
Ste B1
Moreno Valley, CA 92557
Phone (909) 924-1906

393 E Walnut St
Pasadena, CA 91188
Phone (626) 405-7914

9041 Magnolia Ave
Ste 305
Riverside, CA 92503
Phone (951) 343-3477

Organizations & group practices 5

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": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1992199343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 MAGNOLIA AVE STE 201",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793332",
            "telephone_number": "951-735-6969",
            "fax_number": "951-735-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 MAGNOLIA AVE STE 201",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793332",
            "telephone_number": "951-735-6969",
            "fax_number": "951-735-8560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27309 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925905685",
            "country_code": "US",
            "telephone_number": "866-984-7483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HUONG",
        "middle_name": "QUYNH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A145864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10800 Magnolia Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925053043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.