AI VAN NGUYEN
NPI 1538769807
Nurse Practitioner - Family in Los Angeles, CA

Q: What is Ai Nguyen's NPI number?

The NPI number for Ai Nguyen is 1538769807. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Q: What is Ai Nguyen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ai Nguyen was last updated on February 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 27, 2020PECOS EnrolledAccepts Medicare Assignment

1401 S GRAND AVE, LOS ANGELES, CA 90015(213) 748-2411 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2021, Oct 29, 2020 (2 updates tracked since 2020).

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About Ai Van Nguyen NPPES

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

AI VAN NGUYEN (NPI 1538769807) is an individual family provider in Los Angeles, California, licensed in California (95015772) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1538769807

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameAI VAN NGUYEN

Location Address1401 S GRAND AVELos Angeles, CA 90015-3010

Mailing Address1401 S Grand AveLos Angeles, CA 90015-3010 · (213) 748-2411

Phone(213) 748-2411

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 27, 2020

Last NPPES UpdateFebruary 3, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2021

✔ NPI 1538769807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95015772

1401 S GRAND AVE, Los Angeles, CA 90015

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Other Identifiers 1

Other95015772CA · Nurse Practitioner

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

Ai Van 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 ID1557753985

PECOS Enrollment IDI20220117000367

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 90015 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.

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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.

TATIANA MARIA VAZQUEZ DE LOS SANTOS

Student in an Organized Health Care Education/Training Program