DUC NGUYEN MD CORP
NPI 1487842365
Internal Medicine - Pulmonary Disease in Simi Valley, CA

Active since October 04, 2007
1177 ROADRUNNER WAY, SIMI VALLEY, CA 93065(805) 520-1577(805) 520-8091 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Duc Nguyen Md Corp NPPES

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

DUC NGUYEN MD CORP (NPI 1487842365) is a healthcare organization registered as a pulmonary disease in Simi Valley, California and active in the NPI registry since October 2007. The organization lists Duc Nguyen, Owner, as its authorized official.

NPPES Registry Identity

NPI1487842365
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameDUC NGUYEN MD CORP
Location Address1177 ROADRUNNER WAYSimi Valley, CA 93065-3159
Mailing Address1177 Roadrunner WaySimi Valley, CA 93065-3159 · (805) 520-1577 · Fax (805) 520-8091
Fax(805) 520-8091
Organization SubpartNo
Authorized OfficialDuc NguyenOwner · (805) 520-1577
Enumeration DateOctober 4, 2007
Last NPPES UpdateMarch 29, 2018
✔ NPI 1487842365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CA · A53620
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1177 ROADRUNNER WAY, Simi Valley, CA 93065

Other Identifiers 1

Medicaid00A536201CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Duc Nguyen Md Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20050329000629Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Duc Nguyen MD Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1306945365
2621 S BRISTOL ST
Santa Ana, CA 92704
(805) 520-1577
✔ PECOS✔ Accepts Medicare65 mi

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

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 Duc Nguyen MD Corp's NPI number?

The NPI number for Duc Nguyen MD Corp is 1487842365. It was assigned to this organization in the NPPES registry on October 4, 2007.

Where is Duc Nguyen MD Corp located?

Duc Nguyen MD Corp is located at 1177 Roadrunner Way, Simi Valley, CA 93065. The listed phone number is (805) 520-1577.

What is Duc Nguyen MD Corp's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Duc Nguyen MD Corp enrolled in Medicare?

Yes. Duc Nguyen MD Corp is registered in the Medicare PECOS enrollment system.

When is Duc Nguyen MD Corp's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Duc Nguyen MD Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Duc Nguyen MD Corp. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Duc Nguyen MD Corp was last updated on March 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.