SON NGUYEN M.D
NPI 1104320654
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Q: What is Son Nguyen's NPI number?

The NPI number for Son Nguyen is 1104320654. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Q: What is Son 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 Son Nguyen was last updated on March 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 20, 2018PECOS EnrolledAccepts Medicare Assignment

4860 Y ST STE 2200, SACRAMENTO, CA 95817(916) 734-2222 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Son Nguyen M.d NPPES

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

SON NGUYEN M.D (NPI 1104320654) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2018).

NPPES Registry Identity

NPI1104320654

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSON NGUYENCredential: M.D

Location Address4860 Y ST STE 2200Sacramento, CA 95817-2307

Mailing Address4860 Y St Ste 2200Sacramento, CA 95817-2307 · (916) 734-2222

Phone(916) 734-2222

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2018

Enumeration DateMarch 20, 2018

✔ NPI 1104320654 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.

4860 Y ST STE 2200, Sacramento, CA 95817

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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

Son Nguyen M.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 ID5890141931

PECOS Enrollment IDI20231026001451

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.

Other Providers at the Same Location NPPES 16

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

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