DR. KIM NGOC NGUYEN MD
NPI 1053013771
Family Medicine in Chino, CA
About Dr. Kim Ngoc Nguyen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIM NGOC NGUYEN MD (NPI 1053013771) is an individual family medicine provider in Chino, California, licensed in California (A205793) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kim Ngoc Nguyen Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Kim Nguyen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pomona, CA 91766
- Reassigned Medicare billing, California enrollment
- 49 clinicians in this Medicare group
San Dimas, CA 91773
- Reassigned Medicare billing, California enrollment
- 7 clinicians in this Medicare group
Garden Grove, CA 92844
- Reassigned Medicare billing, California enrollment
- 22 clinicians in this Medicare group
Sherman Oaks, CA 91403
- Reassigned Medicare billing, California enrollment
- 76 clinicians in this Medicare group
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 91710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHINO, CA 91710
CHINO, CA 91710
CHINO, CA 91710
CHINO, CA 91710
CHINO, CA 91710
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 Nguyen's NPI number?
The NPI number for Kim Nguyen is 1053013771. It was assigned to this individual provider in the NPPES registry on March 17, 2023.
Where is Kim Nguyen located?
Kim Nguyen practices at 5451 Walnut Ave, Chino, CA 91710. The listed phone number is (094) 648-6009.
What is Kim Nguyen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kim Nguyen enrolled in Medicare?
Yes. Kim Nguyen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kim Nguyen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kim Nguyen reassigns Medicare benefits to 4 organizations: East Valley Community Health Center, Inc. (Pomona, CA), Advocate Family Medicine Clinic (San Dimas, CA), Dao Medical Group Inc (Garden Grove, CA) and Epic Medical Group,inc (Sherman Oaks, CA). Each 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 Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kim Nguyen was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Dr. Kim Ngoc Nguyen, MD · NPI 1053013771
Family Medicine physician in Chino, California. Individual provider, active in the CMS NPPES registry since March 17, 2023.
## Identity
- **NPI:** 1053013771 (Entity type: Individual)
- **Enumerated:** March 17, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A205793 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5451 WALNUT AVE, Chino, CA 91710-2609
- **Phone:** (094) 648-6009
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): East Valley Community Health Center, Inc. (NPI 1649324443, Pomona, CA); Advocate Family Medicine Clinic (NPI 1366215683, San Dimas, CA); Dao Medical Group Inc (NPI 1073957239, Garden Grove, CA); Epic Medical Group,inc (NPI 1295178689, Sherman Oaks, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** April 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053013771) · Data from the CMS NPPES public registry.