Individual provider Active NPI

Chanh Duy Nguyen, M.D.

  • Diagnostic Radiology Physician
  • Fresno, CA
National Provider Identifier
1992901250
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A91152 Issued in CA
Practice address
1867 E Fir Ave
Suite 104
Fresno, CA 93720-3808
Phone
(559) 325-5800
Fax
(559) 325-5838
NPI assigned
Jun 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A91152 CA Primary

Addresses

Primary practice location

1867 E Fir Ave
Suite 104
Fresno, CA 93720-3808

Mailing address

1867 E Fir Ave
Suite 104
Fresno, CA 93720-3808
Phone (559) 325-5800

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
I20090709000619 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8022160704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of California, Geffen School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Valley Community Medical ImagingGroup PAC ID 5799679874, 97 clinicians
California Imaging Institute Medical Group IncGroup PAC ID 1951325299, 35 clinicians

Practice addresses (Care Compare)

1827 E Fir Ave
Suite 101
Fresno, CA 93720-3860
Phone (559) 256-1975

1867 E Fir Ave
Suite 101
Fresno, CA 93720-3808
Phone (559) 325-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.79 of 100Reported as group
Quality
66.31
Improvement activities
40
Cost
74.14

Merit-based Incentive Payment System (MIPS)

Final score
84.42 of 100Reported as group
Quality
71.24
Improvement activities
40
Cost
75.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91152CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Imaging Institute Medical Group Inc CurrentSince Jun 1, 2009 Accepting new patients
Advanced Medical Imaging Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

570 N Magnolia Ave
Ste 103
Clovis, CA 93611
Phone (559) 447-4000

729 N Medical Center Dr W
Ste 109
Clovis, CA 93611
Phone (559) 324-6810

1867 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 325-5800

6297 N Fresno St
Fresno, CA 93710
Phone (559) 447-4000

1867 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 325-5800

6771 N Palm Ave
Fresno, CA 93704
Phone (559) 451-2203

1827 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 297-9002

15 E Audubon Dr
Fresno, CA 93720
Phone (559) 433-8000

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1992901250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 E FIR AVE",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203808",
            "telephone_number": "559-325-5800",
            "fax_number": "559-325-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 E FIR AVE",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203808",
            "telephone_number": "559-325-5800",
            "fax_number": "559-325-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHANH",
        "middle_name": "DUY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A91152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.