DR. KIM-THY HOANG NGUYEN DO
NPI 1053040709
Family Medicine in Culver City, CA
About Dr. Kim-thy Hoang Nguyen Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIM-THY HOANG NGUYEN DO (NPI 1053040709) is an individual family medicine provider in Culver City, California, licensed in California (20A22086) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Culver City, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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-thy Hoang Nguyen Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kim-thy Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Culver City, CA 90230
- Reassigned Medicare billing, California enrollment
- 9 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 90230 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CULVER CITY, CA 90230
CULVER CITY, CA 90230
CULVER CITY, CA 90230
CULVER CITY, CA 90230
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-thy Nguyen's NPI number?
The NPI number for Kim-thy Nguyen is 1053040709. It was assigned to this individual provider in the NPPES registry on June 8, 2022.
Where is Kim-thy Nguyen located?
Kim-thy Nguyen practices at 5901 Green Valley Cir Ste 405, Culver City, CA 90230. The listed phone number is (424) 266-7474.
What is Kim-thy Nguyen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kim-thy Nguyen enrolled in Medicare?
Yes. Kim-thy Nguyen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kim-thy Nguyen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kim-thy Nguyen reassigns Medicare benefits to The Achievable Foundation (Culver City, 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-thy 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-thy Nguyen was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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-Thy Hoang Nguyen, DO · NPI 1053040709
Family Medicine physician in Culver City, California. Individual provider, active in the CMS NPPES registry since June 8, 2022.
## Identity
- **NPI:** 1053040709 (Entity type: Individual)
- **Enumerated:** June 8, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A22086 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5901 GREEN VALLEY CIR STE 405, Culver City, CA 90230-6971
- **Phone:** (424) 266-7474
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Achievable Foundation (NPI 1164771747, Culver City, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053040709) · Data from the CMS NPPES public registry.