1. Home
  2. Directory
  3. California
  4. La Mesa
  5. Family Medicine
  6. NPI Profile

ALLISEN QUYNH NHU PHAM NGUYEN MD
NPI 1265162713
Family Medicine in La Mesa, CA

Active since June 15, 2022PECOS Enrolled
3875 AVOCADO BLVD, LA MESA, CA 91941(833) 574-2273 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2025, Sep 18, 2024 (2 updates tracked since 2024).

About Allisen Quynh Nhu Pham Nguyen Md NPPES

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

ALLISEN QUYNH NHU PHAM NGUYEN MD (NPI 1265162713) is an individual family medicine provider in La Mesa, California, licensed in Michigan (4351050178) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265162713
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameALLISEN QUYNH NHU PHAM NGUYENCredential: MD
Location Address3875 AVOCADO BLVDLa Mesa, CA 91941-7303
Mailing Address16815 E Jefferson AveGrosse Pointe, MI 48230-1923
Phone(833) 574-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 15, 2022
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1265162713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4351050178
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3875 AVOCADO BLVD, La Mesa, CA 91941
Open in Google Maps ↗

Other Names 1

Other Name (5)Alli Quynh Nguyen

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allisen Quynh Nhu Pham Nguyen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648659672
PECOS Enrollment IDI20251030004399
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 91941 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
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 10

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

SAMUEL C HU R.PH.
Pharmacist
3875 AVOCADO BLVD
LA MESA, CA 91941
San Diego County (619) 670-2050
MR. NEIL RICHARD HIRSCHORN R.PH.
Pharmacist
3875 AVOCADO BLVD
LA MESA, CA 91941
San Diego County (619) 670-2050
KIMBERLEY GLASSON RPH
Pharmacist
3875 AVOCADO BLVD
LA MESA, CA 91941
San Diego County (619) 670-2050
DR. DANIEL G WALLACE MD
Internal Medicine
3875 AVOCADO BLVD
LA MESA, CA 91941
San Diego County (800) 290-5000
HAIRAN ZHU
Internal Medicine
3875 AVOCADO BLVD
LA MESA, CA 91941
San Diego County (619) 851-0992
INDUSHREE GHOSH M.D.
Family Medicine
3875 AVOCADO BLVD, PRIMARY CARE 2ND FLOOR
LA MESA, CA 91941
San Diego County (619) 670-2913
DARCY FOX MOCK M.D.
Internal Medicine
3875 AVOCADO BLVD
LA MESA, CA 91941
San Diego County (800) 290-5000
DR. THEODORE CHIWAN NG M.D.
Pediatrics
3875 AVOCADO BLVD
LA MESA, CA 91941
San Diego County (800) 290-5828

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 Allisen Nguyen's NPI number?

The NPI number for Allisen Nguyen is 1265162713. It was assigned to this individual provider in the NPPES registry on June 15, 2022. The provider is also known as Alli Quynh Nguyen.

Where is Allisen Nguyen located?

Allisen Nguyen practices at 3875 Avocado Blvd, La Mesa, CA 91941. The listed phone number is (833) 574-2273.

What is Allisen Nguyen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Allisen Nguyen enrolled in Medicare?

Yes. Allisen Nguyen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Allisen Nguyen was last updated on June 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.