HAO PHUC NGUYEN D.O.
NPI 1215294731
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since April 20, 2012PECOS EnrolledAccepts Medicare Assignment
4077 FIFTH AVE # MER35, SAN DIEGO, CA 92103(619) 260-7220 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Hao Phuc Nguyen D.o. NPPES

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

HAO PHUC NGUYEN D.O. (NPI 1215294731) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1215294731
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHAO PHUC NGUYENCredential: D.O.
Location Address4077 FIFTH AVE # MER35San Diego, CA 92103-2105
Mailing Address4077 Fifth Ave # Mer35San Diego, CA 92103-2105
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 20, 2012
Last NPPES UpdateDecember 2, 2021
✔ NPI 1215294731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
4077 FIFTH AVE # MER35, San Diego, CA 92103

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

Hao Phuc Nguyen D.o. 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 ID6204065063
PECOS Enrollment IDI20151110001263
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 Hao Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services14 patients

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.

Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103

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 Hao Nguyen's NPI number?

The NPI number for Hao Nguyen is 1215294731. It was assigned to this individual provider in the NPPES registry on April 20, 2012.

Where is Hao Nguyen located?

Hao Nguyen practices at 4077 Fifth Ave # Mer35, San Diego, CA 92103. The listed phone number is (619) 260-7220.

What is Hao 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 Hao Nguyen enrolled in Medicare?

Yes. Hao 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 Hao Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hao Nguyen reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, 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 Hao 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 Hao Nguyen was last updated on December 2, 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.