Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANDREA KHUE-TU NGUYEN MD
NPI 1417698929
Internal Medicine - Sleep Medicine in Santa Monica, CA

Q: What is Andrea Nguyen's NPI number?

The NPI number for Andrea Nguyen is 1417698929. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Q: What is Andrea Nguyen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Nguyen was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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 April 06, 2022PECOS Enrolled

1223 16TH ST STE 3400, SANTA MONICA, CA 90404(310) 449-0939 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 24, 2026, Jun 3, 2025, Apr 6, 2022 (3 updates tracked since 2022).

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About Andrea Khue-tu Nguyen Md NPPES

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

ANDREA KHUE-TU NGUYEN MD (NPI 1417698929) is an individual sleep medicine provider in Santa Monica, California, licensed in California (A203772) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Porter Ranch, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2022).

NPPES Registry Identity

NPI1417698929

Entity TypeIndividualFemale

Primary Taxonomy207RS0012X

Provider Legal NameANDREA KHUE-TU NGUYENCredential: MD

Location Address1223 16TH ST STE 3400Santa Monica, CA 90404-1279

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707

Phone(310) 449-0939

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2022

Enumeration DateApril 6, 2022

Last NPPES UpdateAugust 24, 20263 updates tracked since enumeration

NPPES CertifiedAugust 24, 2026

✔ NPI 1417698929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0012X

License✔ Licensed in CA · A203772

Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

1223 16TH ST STE 3400, Santa Monica, CA 90404

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Secondary Practice Location 1

Location 119950 Rinaldi St Ste 300Porter Ranch, CA 91326-4254 · Phone (818) 271-2400

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Khue-tu Nguyen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820477540

PECOS Enrollment IDI20260717004171

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 90404 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 20

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

DR. COLLEEN LUCY CHANNICK M.D.

Internal Medicine (Pulmonary Disease)