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VANIA THANH NGUYEN M.D.
NPI 1124125943
Pediatrics in Los Angeles, CA

Active since September 20, 2006PECOS Enrolled
12555 W JEFFERSON BLVD STE 302, LOS ANGELES, CA 90066(424) 443-5600(424) 443-5606 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 12, 2021, Sep 15, 2021, Apr 19, 2021 and 3 more (6 updates tracked since 2018).

About Vania Thanh Nguyen M.d. NPPES

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

VANIA THANH NGUYEN M.D. (NPI 1124125943) is an individual pediatrics provider in Los Angeles, California, licensed in California (A86445) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124125943
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameVANIA THANH NGUYENCredential: M.D.
Location Address12555 W JEFFERSON BLVD STE 302Los Angeles, CA 90066-7032
Mailing Address2020 Santa Monica Blvd Ste 300Santa Monica, CA 90404-2013 · (310) 582-7313 · Fax (310) 315-6118
Phone(424) 443-5600
Fax(424) 443-5606
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJanuary 23, 20246 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2024
✔ NPI 1124125943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · A86445✔ Licensed in MI · 4301087156
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12555 W JEFFERSON BLVD STE 302, Los Angeles, CA 90066
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1970 Monument St Ste 220Pacific Palisades, CA 90272-3898 · Phone (310) 454-2296 · Fax (310) 454-2295
Location 2881 Alma Real Dr Ste 101Pacific Palisades, CA 90272-3792 · Phone (310) 454-2296 · Fax (310) 454-2295

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vania Thanh Nguyen M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Vania Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Saint Johns Medical Foundation
5.1 mi
Specialist
2121 SANTA MONICA BLVD
Santa Monica, CA 90404
  • Reassigned Medicare billing, California enrollment
  • 461 clinicians in this Medicare group
NPI 1770093734 (310) 582-7312

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 90066 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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 5

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

DANIELLE ELIZABETH FERNANDES M.D.
Pediatrics
12555 W JEFFERSON BLVD STE 302
LOS ANGELES, CA 90066
Los Angeles County (424) 443-5600
MRS. DANELLE M FISHER MD
Pediatrics
12555 W JEFFERSON BLVD STE 302
LOS ANGELES, CA 90066
Los Angeles County (424) 443-5600
DR. JEFFREY PHILIP BOURNE M.D.
Pediatrics
12555 W JEFFERSON BLVD STE 302
LOS ANGELES, CA 90066
Los Angeles County (424) 443-5600
DR. DANIEL ING PAK LAU M.D.
Pediatrics
12555 W JEFFERSON BLVD STE 302
LOS ANGELES, CA 90066
Los Angeles County (424) 443-5600
DR. AMY MARA SHAPIRO M.D.
Pediatrics
12555 W JEFFERSON BLVD STE 302
LOS ANGELES, CA 90066
Los Angeles County (424) 443-5600

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 Vania Nguyen's NPI number?

The NPI number for Vania Nguyen is 1124125943. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Vania Nguyen located?

Vania Nguyen practices at 12555 W Jefferson Blvd Ste 302, Los Angeles, CA 90066. The listed phone number is (424) 443-5600.

What is Vania Nguyen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Vania Nguyen enrolled in Medicare?

Yes. Vania Nguyen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Vania Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vania Nguyen reassigns Medicare benefits to Providence Saint Johns Medical Foundation (Santa Monica, CA). The 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 Vania 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 Vania Nguyen was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.