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KHOA BA NGUYEN
NPI 1073139630
Dermatology in Santa Monica, CA

Active since June 19, 2020PECOS EnrolledAccepts Medicare Assignment
2020 SANTA MONICA BLVD STE 510, SANTA MONICA, CA 90404(310) 917-3376 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2024, Dec 6, 2021, Jun 19, 2020 (3 updates tracked since 2020).

About Khoa Ba Nguyen NPPES

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

KHOA BA NGUYEN (NPI 1073139630) is an individual dermatology provider in Santa Monica, California, licensed in California (A186255) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pasadena, and is a graduate of University Of Florida College Of Medicine (2020).

NPPES Registry Identity

NPI1073139630
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameKHOA BA NGUYEN
Location Address2020 SANTA MONICA BLVD STE 510Santa Monica, CA 90404-2131
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707
Phone(310) 917-3376
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2020
Enumeration DateJune 19, 2020
Last NPPES UpdateOctober 1, 20243 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1073139630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A186255
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2020 SANTA MONICA BLVD STE 510, Santa Monica, CA 90404
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Secondary Practice Location 1

Location 1100 W California BlvdPasadena, CA 91105-3010 · Phone (714) 931-1440

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

Khoa Ba Nguyen 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 ID7113325473
PECOS Enrollment IDI20231109002962
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

DELILA POULDAR FOULAD M.D.
Dermatology
2020 SANTA MONICA BLVD STE 510
SANTA MONICA, CA 90404
Los Angeles County (310) 917-3376
JESSICA WU MD
Dermatology
2020 SANTA MONICA BLVD STE 510
SANTA MONICA, CA 90404
Los Angeles County (310) 917-3376
LAWRENCE FITZGERALD KUKLINSKI MD
Dermatology
2020 SANTA MONICA BLVD STE 510
SANTA MONICA, CA 90404
Los Angeles County (310) 917-3376
VIRAAT PATEL MD
Dermatology
2020 SANTA MONICA BLVD STE 510
SANTA MONICA, CA 90404
Los Angeles County (310) 917-3376
MEHDI FARSHCHIAN MD, PHD
Dermatology
2020 SANTA MONICA BLVD STE 510
SANTA MONICA, CA 90404
Los Angeles County (310) 917-3376
DAVID PIERRE BEYNET M.D.
Dermatology
2020 SANTA MONICA BLVD STE 510
SANTA MONICA, CA 90404
Los Angeles County (310) 917-3376
DOAN THUY DUC NGUYEN
Nurse Practitioner
2020 SANTA MONICA BLVD STE 510
SANTA MONICA, CA 90404
Los Angeles County (310) 917-3376

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 Khoa Nguyen's NPI number?

The NPI number for Khoa Nguyen is 1073139630. It was assigned to this individual provider in the NPPES registry on June 19, 2020.

Where is Khoa Nguyen located?

Khoa Nguyen practices at 2020 Santa Monica Blvd Ste 510, Santa Monica, CA 90404. The listed phone number is (310) 917-3376.

What is Khoa Nguyen's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Khoa Nguyen enrolled in Medicare?

Yes. Khoa 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 Khoa Nguyen was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.