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DR. TRISTEN NGUYEN D.D.S.
NPI 1578772000
Dentist - General Practice in Culver City, CA

Active since May 22, 2007PECOS Enrolled
4700 INGLEWOOD BLVD STE 102, CULVER CITY, CA 90230(310) 392-8636 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2021, Nov 1, 2019 (2 updates tracked since 2019).

About Dr. Tristen Nguyen D.d.s. NPPES

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

DR. TRISTEN NGUYEN D.D.S. (NPI 1578772000) is an individual general practice provider in Culver City, California, licensed in California (55387) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578772000
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TRISTEN NGUYENCredential: D.D.S.
Location Address4700 INGLEWOOD BLVD STE 102Culver City, CA 90230-5896
Mailing Address8112 Regis WayLos Angeles, CA 90045-2619 · (310) 634-5927
Phone(310) 392-8636
Sole ProprietorYes
Enumeration DateMay 22, 2007
Last NPPES UpdateMarch 18, 20212 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
✔ NPI 1578772000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 55387
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4700 INGLEWOOD BLVD STE 102, Culver City, CA 90230
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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)

Dr. Tristen Nguyen D.d.s. 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 90230 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 8

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

DR. REINA RUFO AMILING MD
Family Medicine
4700 INGLEWOOD BLVD STE 102
LOS ANGELES, CA 90230
Los Angeles County (310) 392-8636
SUZANNE E PARRA FNP-C
Nurse Practitioner (Family)
4700 INGLEWOOD BLVD STE 102
CULVER CITY, CA 90230
Los Angeles County (310) 392-8636
MS. NICOLE FANELLI NP
Nurse Practitioner (Family)
4700 INGLEWOOD BLVD STE 102
CULVER CITY, CA 90230
Los Angeles County (818) 606-3565
ROHITH MOHAN MD
Pediatrics
4700 INGLEWOOD BLVD STE 102
LOS ANGELES, CA 90230
Los Angeles County (310) 392-8636
RITA EVAZYAN
Dentist
4700 INGLEWOOD BLVD STE 102
CULVER CITY, CA 90230
Los Angeles County (310) 392-8636
HUNG LE APRN
Nurse Practitioner (Gerontology)
4700 INGLEWOOD BLVD STE 102
CULVER CITY, CA 90230
Los Angeles County (310) 392-8636
VENICE FAMILY - STORE 3
Pharmacy (Community/Retail Pharmacy)
4700 INGLEWOOD BLVD STE 102
CULVER CITY, CA 90230
Los Angeles County (310) 664-7757
VENICE FAMILY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
4700 INGLEWOOD BLVD STE 102
CULVER CITY, CA 90230
Los Angeles County (310) 392-8636

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 Tristen Nguyen's NPI number?

The NPI number for Tristen Nguyen is 1578772000. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Tristen Nguyen located?

Tristen Nguyen practices at 4700 Inglewood Blvd Ste 102, Culver City, CA 90230. The listed phone number is (310) 392-8636.

What is Tristen Nguyen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Tristen Nguyen enrolled in Medicare?

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

What insurance does Tristen Nguyen accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Tristen 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 Tristen Nguyen was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.