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BAO LOU NGUYEN DDS
NPI 1487768743
Dentist - Endodontics in San Bernardino, CA

Active since August 17, 2006PECOS Enrolled
2150 N WATERMAN AVE, STE 103, SAN BERNARDINO, CA 92404(909) 882-7974(909) 713-0192 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bao Lou Nguyen Dds NPPES

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

BAO LOU NGUYEN DDS (NPI 1487768743) is an individual endodontics provider in San Bernardino, California, licensed in California (42378) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487768743
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameBAO LOU NGUYENCredential: DDS
Location Address2150 N WATERMAN AVE, STE 103San Bernardino, CA 92404-4811
Mailing Address2150 N Waterman Ave, Ste 103San Bernardino, CA 92404-4811 · (909) 882-7974 · Fax (909) 713-0192
Phone(909) 882-7974
Fax(909) 713-0192
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1487768743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in CA · 42378
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
2150 N WATERMAN AVE, San Bernardino, CA 92404
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Other Identifiers 1

MedicaidBN4237801CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bao Lou Nguyen Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92404 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 14

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

DR. KOFI ADADE-BOAFO M.D.
Pediatrics
2150 N WATERMAN AVE, STE 200
SAN BERNARDINO, CA 92404
San Bernardino County (909) 887-7951
DR. ARTHUR FRIEDMAN O.D.
Optometrist
2150 N WATERMAN AVE, #201
SAN BERNARDINO, CA 92404
San Bernardino County (909) 881-2020
KHA DANG LE AND ANNE HANGMAN LE DMD INC
Dentist (General Practice)
2150 N WATERMAN AVE, SUITE # 103
SAN BERNARDINO, CA 92404
San Bernardino County (909) 882-7974
DR. MICHAEL HUANG O.D.
Optometrist
2150 N WATERMAN AVE, SUITE 201
SAN BERNARDINO, CA 92404
San Bernardino County (909) 881-2020
DR. SON NGOC NGUYEN M.D.
Family Medicine
2150 N WATERMAN AVE, STE 202
SAN BERNARDINO, CA 92404
San Bernardino County (909) 383-9385
MS. MARIA D TORRES PA-C
Physician Assistant
2150 N WATERMAN AVE, STE 202
SAN BERNARDINO, CA 92404
San Bernardino County (909) 383-9385
ROLANDO B CADIZ M.D.
Family Medicine
2150 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 881-4115
PINNACLE MEDICAL GROUP, INC.
Family Medicine
2150 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 881-4115

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 Bao Nguyen's NPI number?

The NPI number for Bao Nguyen is 1487768743. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Bao Nguyen located?

Bao Nguyen practices at 2150 N Waterman Ave Ste 103, San Bernardino, CA 92404. The listed phone number is (909) 882-7974.

What is Bao Nguyen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Bao Nguyen enrolled in Medicare?

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

What insurance does Bao Nguyen accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Bao Nguyen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bao Nguyen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.