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KATHY DAO NGUYEN
NPI 1407505068
Student in an Organized Health Care Education/Training Program in Harbor City, CA

Active since March 21, 2022PECOS EnrolledAccepts Medicare Assignment
25965 NORMANDIE AVE, HARBOR CITY, CA 90710(323) 783-7123 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 2, 2025, Jul 25, 2022 (2 updates tracked since 2022).

About Kathy Dao Nguyen NPPES

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

KATHY DAO NGUYEN (NPI 1407505068) is an individual student in an organized health care education/training program in Harbor City, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of College Of Osteo Med Of The Pacific At Pomona (2022).

NPPES Registry Identity

NPI1407505068
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATHY DAO NGUYEN
Location Address25965 NORMANDIE AVEHarbor City, CA 90710-3416
Mailing Address25965 Normandie AveHarbor City, CA 90710-3416
Phone(323) 783-7123
Sole ProprietorNo
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 2022
Enumeration DateMarch 21, 2022
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1407505068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
25965 NORMANDIE AVE, Harbor City, CA 90710
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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

Kathy Dao Nguyen 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 ID9739616020
PECOS Enrollment IDI20250509001407
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 Kathy Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
0.1 mi
Health Maintenance Organization
25825 VERMONT AVE
Harbor City, CA 90710
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1598797011 (310) 325-5111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

RYAN AKIRA IWAMOTO PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
25965 NORMANDIE AVE
HARBOR CITY, CA 90710
Los Angeles County (800) 780-1230
JULIO ESPINOSA M.D.
Obstetrics & Gynecology
25965 NORMANDIE AVE
HARBOR CITY, CA 90710
Los Angeles County (562) 881-9790
KERI NAGAISHI
Pharmacist
25965 NORMANDIE AVE
HARBOR CITY, CA 90710
Los Angeles County (808) 341-0662
MR. PARKER W GREENE PA
Physician Assistant
25965 NORMANDIE AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 871-4735
RUMIE SU MD
Pediatrics
25965 NORMANDIE AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 257-5179
MICHELE NGUYEN PHARM. D.
Pharmacist
25965 NORMANDIE AVE
HARBOR CITY, CA 90710
Los Angeles County (800) 780-1230
DR. BRYANT COLIN WONG PHARMD
Pharmacist
25965 NORMANDIE AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 325-5111
DR. NISHA WADHWA MD
Pediatrics
25965 NORMANDIE AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 467-9908

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 Kathy Nguyen's NPI number?

The NPI number for Kathy Nguyen is 1407505068. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Kathy Nguyen located?

Kathy Nguyen practices at 25965 Normandie Ave, Harbor City, CA 90710. The listed phone number is (323) 783-7123.

What is Kathy 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 Kathy Nguyen enrolled in Medicare?

Yes. Kathy 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 Kathy Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Nguyen reassigns Medicare benefits to Southern California Permanente Medical Group (Harbor City, 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 Kathy 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 Kathy Nguyen was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.