MS. AN TAM THI NGUYEN PA-C
NPI 1295229235
Physician Assistant - Surgical in Upland, CA

Q: What is An Tam Nguyen's NPI number?

The NPI number for An Tam Nguyen is 1295229235. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Q: What is An Tam Nguyen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for An Tam Nguyen was last updated on February 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 21, 2018PECOS EnrolledAccepts Medicare Assignment

901 SAN BERNARDINO RD STE 102, UPLAND, CA 91786(909) 579-6721(909) 579-6737 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2020, Feb 21, 2020, Aug 27, 2018 and 1 more (4 updates tracked since 2018).

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About Ms. An Tam Thi Nguyen Pa-c NPPES

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

MS. AN TAM THI NGUYEN PA-C (NPI 1295229235) is an individual surgical provider in Upland, California, licensed in California (55765) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295229235

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMS. AN TAM THI NGUYENCredential: PA-C

Location Address901 SAN BERNARDINO RD STE 102Upland, CA 91786-4988

Mailing Address901 San Bernardino Rd Ste 102Upland, CA 91786-4988 · (909) 579-6721 · Fax (909) 579-6737

Phone(909) 579-6721

Fax(909) 579-6737

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 21, 2018

Last NPPES UpdateFebruary 24, 20204 updates tracked since enumeration

✔ NPI 1295229235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in CA · 55765✔ Licensed in NH · 1382

901 SAN BERNARDINO RD STE 102, Upland, CA 91786

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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

Ms. An Tam Thi Nguyen Pa-c 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 ID9537419130

PECOS Enrollment IDI20200310000674

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.

Areas of Expertise CMS Part B claims 2

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.

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

16 services16 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

16 services16 patients

Other Providers at the Same Location NPPES 7

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

DR. SHANKHA SUVRA BISWAS MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)