Individual provider Active NPI

Nick Thanh Nguyen, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Brea, CA
National Provider Identifier
1992977649
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4540 Issued in CA
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

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190819001791 CA Practitioner - Podiatry 3072841832 Reassigns benefits to 8 organizations
Practice locations: Placentia, CA

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
Healthcare Partners Affiliates Medical GroupGroup PAC ID 7315842002, 775 clinicians
Baromedical Physician Associates Medical Group IncGroup PAC ID 9133031610, 6 clinicians

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

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue216
Removal or shaving of skin growth213

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
E4540CAMDFoot & Ankle Surgery Podiatrist
4540CAMDChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Medical Group, Inc CurrentSince Apr 17, 2024 Accepting new patients
Saddleback Medical Group Inc CurrentSince Apr 17, 2024 Accepting new patients
Affordable Medical Center & Urgent Care Inc CurrentSince Apr 1, 2020 Accepting new patients
Nick Nguyen, DPM., Inc. CurrentSince Nov 1, 2025 Accepting new patients
Beaver Medical Group P C CurrentSince Apr 17, 2024 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 CurrentSince Apr 17, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince May 4, 2024 Accepting new patients
Desert Care Clinic Apc CurrentSince Feb 1, 2026 Accepting new patients
Pinnacle Medical Group, Inc CurrentSince Apr 17, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince May 4, 2024 Accepting new patients
Baromedical Physician Associates Medical Group CurrentSince Jan 3, 2022 Accepting new patients
Centers for Family Medicine GP CurrentSince Apr 17, 2024 Accepting new patients
Clinicas del Valle a Professional Corp PastSince Feb 1, 2026 Accepting new patients
Verdugo Multi-Specialty Medical Group, Inc. PastSince Apr 1, 2020 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

  • Direct secure messaging: 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.

View all 16

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

Verify at the official NPI Registry.