JASON NGUYEN
NPI 1073451779
Student in an Organized Health Care Education/Training Program in Riverside, CA

Q: What is Jason Nguyen's NPI number?

The NPI number for Jason Nguyen is 1073451779. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Q: What is Jason Nguyen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Nguyen was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 23, 2026PECOS Enrolled

4445 MAGNOLIA AVE, RIVERSIDE, CA 92501(951) 495-9945 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2026, Mar 23, 2026 (2 updates tracked since 2026).

On this page

About Jason Nguyen NPPES

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

JASON NGUYEN (NPI 1073451779) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073451779

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJASON NGUYEN

Location Address4445 MAGNOLIA AVERiverside, CA 92501-4135

Mailing Address4445 Magnolia AveRiverside, CA 92501-4135

Phone(951) 495-9945

Sole ProprietorYes

Enumeration DateMarch 23, 2026

Last NPPES UpdateApril 15, 20262 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1073451779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4445 MAGNOLIA AVE, Riverside, CA 92501

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Nguyen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Leave this field empty

Other Providers at the Same Location NPPES 20

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

MR. DAVID W LEVINE PA-C

Physician Assistant