KELLEY NGUYEN
NPI 1104283613
Dentist - General Practice in Foster City, CA
About Kelley Nguyen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEY NGUYEN (NPI 1104283613) is an individual general practice provider in Foster City, California, licensed in California (100565) and active in the NPI registry since January 2016. She has opted out of Medicare through February 17, 2027 and remains eligible to order and refer and maintains a secondary practice location in East Palo Alto.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kelley Nguyen has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 17, 2017 through February 17, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94404 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 17
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 Kelley Nguyen's NPI number?
The NPI number for Kelley Nguyen is 1104283613. It was assigned to this individual provider in the NPPES registry on January 28, 2016.
Where is Kelley Nguyen located?
Kelley Nguyen practices at 581 Foster City Blvd, Foster City, CA 94404. The listed phone number is (650) 286-9999.
What is Kelley Nguyen's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Kelley Nguyen enrolled in Medicare?
No. Kelley Nguyen has opted out of Medicare through February 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Kelley Nguyen was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kelley Nguyen · NPI 1104283613
General Practice provider in Foster City, California. Individual provider, active in the CMS NPPES registry since January 28, 2016.
## Identity
- **NPI:** 1104283613 (Entity type: Individual)
- **Enumerated:** January 28, 2016
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 100565 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 581 FOSTER CITY BLVD, Foster City, CA 94404-1695
- **Phone:** (650) 286-9999
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 17, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** January 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1104283613) · Data from the CMS NPPES public registry.