MISS TRACY-TRAM NGOC NGUYEN PA-C
NPI 1386132975
Physician Assistant in Los Angeles, CA

Active since April 29, 2018PECOS EnrolledAccepts Medicare Assignment
1520 SAN PABLO ST STE 1300, LOS ANGELES, CA 90033(323) 442-5900 Get Directions Write a Review

NPPES record last updated: October 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 13, 2021, Jul 7, 2021, Jul 1, 2021 and 2 more (5 updates tracked since 2018).

About Miss Tracy-tram Ngoc Nguyen Pa-c NPPES

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

MISS TRACY-TRAM NGOC NGUYEN PA-C (NPI 1386132975) is an individual physician assistant in Los Angeles, California, licensed in California (PA55693) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1386132975
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS TRACY-TRAM NGOC NGUYENCredential: PA-C
Location Address1520 SAN PABLO ST STE 1300Los Angeles, CA 90033-5312
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-5900
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 29, 2018
Last NPPES UpdateOctober 27, 20245 updates tracked since enumeration
NPPES CertifiedOctober 27, 2024
NPI 1386132975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA55693
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1520 SAN PABLO ST STE 1300, Los Angeles, CA 90033

Other Names 1

Other Name (5)Tracy Nguyen

Secondary Practice Locations 2

Location 1557 N Maclay AveSan Fernando, CA 91340-2424 · Phone (818) 639-0209
Location 217010 Chatsworth StGranada Hills, CA 91344-5844 · Phone (888) 227-3312

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

Miss Tracy-tram Ngoc 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 ID4688918899
PECOS Enrollment IDI20181128003485
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
103 services85 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services45 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
15 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 20

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

Family Medicine (Sports Medicine)
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Nurse Practitioner (Family)
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Physician Assistant
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Nurse Practitioner
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Nurse Practitioner (Family)
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386132975, enumerated as an "individual" on April 29, 2018.

The provider is located at 1520 SAN PABLO ST STE 1300 LOS ANGELES, CA 90033 and the phone number is (323) 442-5900.

Physician Assistant with taxonomy code 363A00000X.