Active NPI
Nick Thanh Nguyen, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Brea, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4540
- Practice address
- 3686 Sandpiper Way
Brea, CA 92823-1045 - Phone
- (714) 321-7168
- NPI assigned
- Apr 1, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4540 | CA | Primary |
Addresses
Primary practice location
3686 Sandpiper Way
Brea, CA 92823-1045
Mailing address
3686 Sandpiper Way
Brea, CA 92823-1045
Phone (714) 321-7168
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
502 Torrance Blvd
Redondo Beach, CA 90277-3413
Phone (310) 316-0811
720 N Tustin Ave
Suite 100
Santa Ana, CA 92705-3693
Phone (714) 973-8777
824 E Carson St
Suite 104
Carson, CA 90745-2262
Phone (310) 830-9706
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 216 |
| Removal or shaving of skin growth | 213 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4540 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 4540 | CA | MD | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Medical Group, Inc | Current | Accepting new patients | |
| Saddleback Medical Group Inc | Current | Accepting new patients | |
| Affordable Medical Center & Urgent Care Inc | Current | Accepting new patients | |
| Nick Nguyen, DPM., Inc. | Current | Accepting new patients | |
| Beaver Medical Group P C | Current | Accepting new patients | |
| Cassidy Medical Group Inc. | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Beaver Medical Group P C | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Desert Care Clinic Apc | Current | Accepting new patients | |
| Pinnacle Medical Group, Inc | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Baromedical Physician Associates Medical Group | Current | Accepting new patients | |
| Centers for Family Medicine GP | Current | Accepting new patients | |
| Clinicas del Valle a Professional Corp | Past | Accepting new patients | |
| Verdugo Multi-Specialty Medical Group, Inc. | Past | Accepting new patients |
Locations
5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864
120 W Cole Blvd
Ste B
Calexico, CA 92231
Phone (323) 731-0681
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
444 S 8th St
El Centro, CA 92243
Phone (760) 678-0252
222 N Pacific Coast Hwy
Ste 2175
El Segundo, CA 90245
Phone (877) 850-8762
24221 Calle de la Louisa
Ste 400
Laguna Hills, CA 92653
Phone (949) 465-8155
24221 Calle de la Louisa
Ste 200
Laguna Hills, CA 92653
Phone (949) 465-8155
5750 Downey Ave
Ste 100
Lakewood, CA 90712
Phone (562) 630-3105
4910 Airport Plaza Dr
Ste 210
Long Beach, CA 90815
Phone (562) 421-3727
3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599
5300 Santa Monica Blvd
Ste 304
Los Angeles, CA 90029
Phone (323) 300-5266
10431 Lemon Ave
Ste N
Rch Cucamonga, CA 91737
Phone (909) 466-6579
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
502 Torrance Blvd
Redondo Beach, CA 90277
Phone (213) 316-0811
720 N Tustin Ave
Ste 100
Santa Ana, CA 92705
Phone (714) 973-8777
145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- nnguyen214424@westdirect.optum.com
Organizations & group practices 16
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.
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- Santa Ana, CA
- NPI 1164569463
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Podiatrist
- Placentia, CA
- NPI 1215819156
-
- Urgent Care Clinic/Center
- Los Angeles, CA
- NPI 1972146843
-
- Family Medicine Physician
- Redlands, CA
- NPI 1649503319
-
- Family Medicine Physician
- Los Alamitos, CA
- NPI 1467598243
-
- Family Medicine Physician
- Fontana, CA
- NPI 1376876912
-
- Gastroenterology Physician
- Laguna Hills, CA
- NPI 1386605822
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Multi-Specialty Clinic/Center
- Vista, CA
- NPI 1215003470
-
- Internal Medicine Physician
- El Centro, CA
- NPI 1326921990
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1992977649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3686 SANDPIPER WAY",
"city": "BREA",
"state": "CA",
"postal_code": "928231045",
"telephone_number": "714-321-7168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3686 SANDPIPER WAY",
"city": "BREA",
"state": "CA",
"postal_code": "928231045",
"telephone_number": "714-321-7168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "NICK",
"middle_name": "THANH",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-01",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.