DR. VAN JOHN NGUYEN PH.D.
NPI 1063630770
Psychologist - Clinical in San Diego, CA
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
Specialties & Licenses 3
Other Names 1
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 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.
Medicare Billing Reassignments
2Medicare enrollment records show Van Nguyen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92121
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
San Diego, CA 92110
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Pacific Neurobehavioral Clinic Inc
- 10 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 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Van Nguyen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Van Nguyen reassigns Medicare benefits to 2 organizations: Michael Moon MD A Medical Corporation (San Diego, CA) and Pacific Neurobehavioral Clinic: A Psychological Corporation (San Diego, 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 Van 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 Van Nguyen was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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. Van John Nguyen, PH.D. · NPI 1063630770
Clinical provider in San Diego, California. Individual provider, active in the CMS NPPES registry since April 20, 2007.
## Identity
- **NPI:** 1063630770 (Entity type: Individual)
- **Enumerated:** April 20, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY32365 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5348 CARROLL CANYON RD STE 101, San Diego, CA 92121-1753
- **Phone:** (858) 202-1546
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Michael Moon MD A Medical Corporation (NPI 1629023387, San Diego, CA); Pacific Neurobehavioral Clinic: A Psychological Corporation (NPI 1952724817, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** March 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1063630770) · Data from the CMS NPPES public registry.