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: July 19, 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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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

The NPI number assigned to this healthcare provider is 1013143429, enumerated as an "individual" on June 01, 2009.

The provider is located at 11828 RANCHO BERNARDO RD STE 203 SAN DIEGO, CA 92128 and the phone number is (858) 798-5153.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.