KIMMY NGUYEN PA-C
NPI 1154196723
Physician Assistant in Rancho Cucamonga, CA

Q: What is Kimmy Nguyen's NPI number?

The NPI number for Kimmy Nguyen is 1154196723. It was assigned to this individual provider in the NPPES registry on November 23, 2023.

Q: What is Kimmy Nguyen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimmy Nguyen was last updated on December 31, 2023. 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.

Active since November 23, 2023PECOS Enrolled

9710 19TH ST, RANCHO CUCAMONGA, CA 91737(909) 581-0008(909) 581-0030 Get Directions Write a Review

NPPES record last updated: December 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kimmy Nguyen Pa-c NPPES

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

KIMMY NGUYEN PA-C (NPI 1154196723) is an individual physician assistant in Rancho Cucamonga, California and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154196723

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKIMMY NGUYENCredential: PA-C

Location Address9710 19TH STRancho Cucamonga, CA 91737-3538

Mailing Address13632 Palomar StWestminster, CA 92683-3022 · (714) 514-7259

Phone(909) 581-0008

Fax(909) 581-0030

Sole ProprietorYes

Enumeration DateNovember 23, 2023

Last NPPES UpdateDecember 31, 2023

NPPES CertifiedDecember 31, 2023

✔ NPI 1154196723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

9710 19TH ST, Rancho Cucamonga, CA 91737

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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 (PECOS)

Kimmy Nguyen Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91737 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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 5

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

RANI ELIAS MD

Pediatrics