JONATHAN NGUYEN DO
NPI 1194102962
Student in an Organized Health Care Education/Training Program in Seal Beach, CA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Jonathan Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bellflower, CA 90706
- Reassigned Medicare billing, California enrollment
- 13,921 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.
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.
Which organization bills Medicare for Jonathan Nguyen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Nguyen reassigns Medicare benefits to Southern California Permanente Medical Group (Bellflower, 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 Jonathan 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 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.
# Jonathan Nguyen, DO · NPI 1194102962
Student in an Organized Health Care Education/Training Program provider in Seal Beach, California. Individual provider, active in the CMS NPPES registry since April 30, 2015.
## Identity
- **NPI:** 1194102962 (Entity type: Individual)
- **Enumerated:** April 30, 2015
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12280 OLD HARBOR CT, Seal Beach, CA 90740-2777
- **Phone:** (562) 240-3710
## 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:** Southern California Permanente Medical Group (NPI 1043242555, Bellflower, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Nova Southeastern Univ College Of Dental Medicine, class of 2014
## Record status
- **NPPES last updated:** October 28, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1194102962) · Data from the CMS NPPES public registry.