1. Home
  2. Directory
  3. California
  4. Seal Beach
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JONATHAN NGUYEN DO
NPI 1194102962
Student in an Organized Health Care Education/Training Program in Seal Beach, CA

Active since April 30, 2015PECOS EnrolledAccepts Medicare Assignment
12280 OLD HARBOR CT, SEAL BEACH, CA 90740(562) 240-3710 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathan Nguyen Do NPPES

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

JONATHAN NGUYEN DO (NPI 1194102962) is an individual student in an organized health care education/training program in Seal Beach, California and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Nova Southeastern Univ College Of Dental Medicine (2014).

NPPES Registry Identity

NPI1194102962
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN NGUYENCredential: DO
Location Address12280 OLD HARBOR CTSeal Beach, CA 90740-2777
Mailing Address12280 Old Harbor CtSeal Beach, CA 90740-2777
Phone(562) 240-3710
Sole ProprietorYes
Medical School CMSNova Southeastern Univ College Of Dental MedicineGraduated 2014
Enumeration DateApril 30, 2015
Last NPPES UpdateOctober 28, 2021
NPPES CertifiedOctober 28, 2021
✔ NPI 1194102962 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.
12280 OLD HARBOR CT, Seal Beach, CA 90740
Open in Google Maps ↗

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

Jonathan Nguyen Do 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 ID2062798952
PECOS Enrollment IDI20180802001727
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.

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 Jonathan Nguyen's NPI number?

The NPI number for Jonathan Nguyen is 1194102962. It was assigned to this individual provider in the NPPES registry on April 30, 2015.

Where is Jonathan Nguyen located?

Jonathan Nguyen practices at 12280 Old Harbor Ct, Seal Beach, CA 90740. The listed phone number is (562) 240-3710.

What is Jonathan Nguyen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jonathan Nguyen enrolled in Medicare?

Yes. Jonathan 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.

When was this NPI record last updated?

The NPPES record for Jonathan Nguyen was last updated on October 28, 2021. 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.