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DR. VAN JOHN NGUYEN PH.D.
NPI 1063630770
Psychologist - Clinical in San Diego, CA

Active since April 20, 2007PECOS EnrolledAccepts Medicare Assignment
5348 CARROLL CANYON RD STE 101, SAN DIEGO, CA 92121(858) 202-1546 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Van John Nguyen Ph.d. NPPES

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

DR. VAN JOHN NGUYEN PH.D. (NPI 1063630770) is an individual clinical provider in San Diego, California, licensed in California (PSY32365) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1063630770
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. VAN JOHN NGUYENCredential: PH.D.
Location Address5348 CARROLL CANYON RD STE 101San Diego, CA 92121-1753
Mailing Address11021 Catarina Ln Unit 300San Diego, CA 92128-5691 · (858) 740-4455
Phone(858) 202-1546
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 20, 2007
Last NPPES UpdateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1063630770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY32365
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · HealthTaxonomy 103TH0004X · License PSY32365 (CA)
5348 CARROLL CANYON RD STE 101, San Diego, CA 92121
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Other Names 1

Professional Name (2)Dr. John Nguyen Ph.d.

Secondary Practice Location 1

Location 1995 Gateway Center Way, Suite 300San Diego, CA 92102-4500 · Phone (619) 398-2156

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Van John Nguyen Ph.d. 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.

PECOS PAC ID4789087156
PECOS Enrollment IDI20210722001053
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 92121 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FUNCTION FIT REHABILITATION
Physical Therapist
5348 CARROLL CANYON RD STE 101
SAN DIEGO, CA 92121
San Diego County (858) 202-1546

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 Van Nguyen's NPI number?

The NPI number for Van Nguyen is 1063630770. It was assigned to this individual provider in the NPPES registry on April 20, 2007. The provider is also known as Dr. John Nguyen Ph.D..

Where is Van Nguyen located?

Van Nguyen practices at 5348 Carroll Canyon Rd Ste 101, San Diego, CA 92121. The listed phone number is (858) 202-1546.

What is Van Nguyen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Van Nguyen enrolled in Medicare?

Yes. Van 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.

When was this NPI record last updated?

The NPPES record for Van Nguyen was last updated on March 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.