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DR. KIM ANH THI NGUYEN DMD
NPI 1013143429
Dentist - General Practice in San Diego, CA

Active since June 01, 2009PECOS Enrolled
11828 RANCHO BERNARDO RD STE 203, SAN DIEGO, CA 92128(858) 798-5153(844) 270-1453 Get Directions Write a Review

NPPES record last updated: September 26, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kim Anh Thi Nguyen Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIM ANH THI NGUYEN DMD (NPI 1013143429) is an individual general practice provider in San Diego, California, licensed in California (58278) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013143429
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KIM ANH THI NGUYENCredential: DMD
Location Address11828 RANCHO BERNARDO RD STE 203San Diego, CA 92128-1909
Mailing Address11828 Rancho Bernardo Rd Ste 203San Diego, CA 92128-1909 · (858) 798-5153
Phone(858) 798-5153
Fax(844) 270-1453
Sole ProprietorNo
Enumeration DateJune 1, 2009
Last NPPES UpdateSeptember 26, 2015
✔ NPI 1013143429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 58278
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
11828 RANCHO BERNARDO RD STE 203, San Diego, CA 92128
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Florida Combined Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kim Anh Thi Nguyen Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kim Anh Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centro De Salud De La Comunidad De San Ysidro, Inc.
7.0 mi
Federally Qualified Health Center (FQHC)
704 E GRAND AVE
Escondido, CA 92025
  • Reassigned Medicare billing, California enrollment
  • 577 clinicians in this Medicare group
NPI 1801438239 (619) 662-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Anh Nguyen's NPI number?

The NPI number for Kim Anh Nguyen is 1013143429. It was assigned to this individual provider in the NPPES registry on June 1, 2009.

Where is Kim Anh Nguyen located?

Kim Anh Nguyen practices at 11828 Rancho Bernardo Rd Ste 203, San Diego, CA 92128. The listed phone number is (858) 798-5153.

What is Kim Anh Nguyen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kim Anh Nguyen enrolled in Medicare?

Yes. Kim Anh Nguyen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kim Anh Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Anh Nguyen reassigns Medicare benefits to Centro De Salud De La Comunidad De San Ysidro, Inc. (Escondido, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kim Anh Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kim Anh Nguyen accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Florida Combined Life, HRI Dental & Vision and Humana and 3 other insurers list Kim Anh Nguyen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kim Anh Nguyen was last updated on September 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.