DR. KIM-THY HOANG NGUYEN DO
NPI 1053040709
Family Medicine in Culver City, CA

Active since June 08, 2022PECOS Enrolled
5901 GREEN VALLEY CIR STE 405, CULVER CITY, CA 90230(424) 266-7474 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2026, Jun 8, 2022 (2 updates tracked since 2022).

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

NPI1053040709
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KIM-THY HOANG NGUYENCredential: DO
Location Address5901 GREEN VALLEY CIR STE 405Culver City, CA 90230-6971
Mailing Address100 Corporate Pointe Ste 270Culver City, CA 90230-8735 · (424) 266-7472 · Fax (310) 596-8268
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 8, 2022
Last NPPES UpdateJune 8, 20262 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
NPI 1053040709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 20A22086
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5901 GREEN VALLEY CIR STE 405, Culver City, CA 90230

Secondary Practice Location 1

Location 1200 Corporate Pointe Ste 50Culver City, CA 90230-8726 · Phone (424) 266-7474 · Fax (310) 596-8268

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-thy Hoang Nguyen Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315436359
PECOS Enrollment IDI20251029003773
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 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.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pediatrics
5901 GREEN VALLEY CIR STE 405
CULVER CITY, CA 90230
Social Worker (Clinical)
5901 GREEN VALLEY CIR STE 405
CULVER CITY, CA 90230
Family Medicine
5901 GREEN VALLEY CIR STE 405
CULVER CITY, CA 90230
Nurse Practitioner (Family)
5901 GREEN VALLEY CIR STE 405
CULVER CITY, CA 90230
Nurse Practitioner (Family)
5901 GREEN VALLEY CIR STE 405
CULVER CITY, CA 90230
Nurse Practitioner (Family)
5901 GREEN VALLEY CIR STE 405
CULVER CITY, CA 90230
Psychiatry & Neurology (Psychiatry)
5901 GREEN VALLEY CIR STE 405
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.

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 2 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.