KRISTINE KIM NGUYEN
NPI 1154876381
Pediatrics in Loma Linda, CA
About Kristine Kim Nguyen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTINE KIM NGUYEN (NPI 1154876381) is an individual pediatrics provider in Loma Linda, California, licensed in California (20A21711) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Garden Grove, and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kristine Kim Nguyen 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kristine Nguyen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Loma Linda, CA 92354
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
San Bernardino, CA 92408
- Reassigned Medicare billing, California enrollment
- 455 clinicians in this Medicare group
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 92354 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 Kristine Nguyen's NPI number?
The NPI number for Kristine Nguyen is 1154876381. It was assigned to this individual provider in the NPPES registry on August 17, 2016.
Where is Kristine Nguyen located?
Kristine Nguyen practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4174.
What is Kristine Nguyen's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kristine Nguyen enrolled in Medicare?
Yes. Kristine Nguyen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kristine Nguyen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristine Nguyen reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and Sac Health System (San Bernardino, CA). Each 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 Kristine 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 Kristine Nguyen was last updated on July 1, 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.
# Kristine Kim Nguyen · NPI 1154876381
Pediatrics physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since August 17, 2016.
## Identity
- **NPI:** 1154876381 (Entity type: Individual)
- **Enumerated:** August 17, 2016
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 20A21711 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, Loma Linda, CA 92354-2804
- **Phone:** (909) 558-4174
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Faculty Physicians And Surgeons Of Llusm (NPI 1245605781, Loma Linda, CA); Sac Health System (NPI 1013935915, San Bernardino, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Touro Un Col Of Osteopathic Medicine, Henderson, class of 2021
## Record status
- **NPPES last updated:** July 1, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1154876381) · Data from the CMS NPPES public registry.