THANH LE HOAI NGUYEN NP
NPI 1518572007
Nurse Practitioner - Primary Care in Alhambra, CA

Active since September 10, 2020PECOS EnrolledAccepts Medicare Assignment
57.22/100
CMS Quality Rating
2835 W VALLEY BLVD, ALHAMBRA, CA 91803(626) 281-3265 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thanh Le Hoai Nguyen Np NPPES

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

THANH LE HOAI NGUYEN NP (NPI 1518572007) is an individual primary care provider in Alhambra, California, licensed in California (95014872) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1518572007
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameTHANH LE HOAI NGUYENCredential: NP
Location Address2835 W VALLEY BLVDAlhambra, CA 91803-1818
Mailing Address1300 N Santa Anita AveArcadia, CA 91006-2418 · (714) 251-1245
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 10, 2020
NPPES CertifiedSeptember 10, 2020
NPI 1518572007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in CA · 95014872
2835 W VALLEY BLVD, Alhambra, CA 91803

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

Thanh Le Hoai Nguyen Np 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 ID7911399316
PECOS Enrollment IDI20220114001595
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 11

Services this provider delivered to Medicare fee-for-service patients, from the 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.
868 services171 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
865 services183 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
95 services40 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
86 services36 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
72 services72 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.
55 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91803 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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

57.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Improvement Activities40
Cost57.41

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers12 claims20 services$6.55 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers12 claims12 services$1.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Adult Health)
2835 W VALLEY BLVD
ALHAMBRA, CA 91803
Clinical Medical Laboratory
2835 W VALLEY BLVD
ALHAMBRA, CA 91803
Nurse Practitioner (Gerontology)
2835 W VALLEY BLVD
ALHAMBRA, CA 91803
Nurse Practitioner (Family)
2835 W VALLEY BLVD
ALHAMBRA, CA 91803

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 Thanh Nguyen's NPI number?

The NPI number for Thanh Nguyen is 1518572007. It was assigned to this individual provider in the NPPES registry on September 10, 2020.

Where is Thanh Nguyen located?

Thanh Nguyen practices at 2835 W Valley Blvd, Alhambra, CA 91803. The listed phone number is (626) 281-3265.

What is Thanh Nguyen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Thanh Nguyen enrolled in Medicare?

Yes. Thanh 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.

When was this NPI record last updated?

The NPPES record for Thanh Nguyen was last updated on September 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.