KYLE NGUYEN
NPI 1609653252
Student in an Organized Health Care Education/Training Program in San Rafael, CA
About Kyle Nguyen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE NGUYEN (NPI 1609653252) is an individual student in an organized health care education/training program in San Rafael, California and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kyle Nguyen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
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 Kyle Nguyen's NPI number?
The NPI number for Kyle Nguyen is 1609653252. It was assigned to this individual provider in the NPPES registry on September 8, 2023.
Where is Kyle Nguyen located?
Kyle Nguyen practices at 50 Acacia Ave, San Rafael, CA 94901. The listed phone number is (415) 457-4440.
What is Kyle Nguyen's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kyle Nguyen enrolled in Medicare?
Yes. Kyle Nguyen is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kyle Nguyen was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kyle Nguyen · NPI 1609653252
Student in an Organized Health Care Education/Training Program provider in San Rafael, California. Individual provider, active in the CMS NPPES registry since September 8, 2023.
## Identity
- **NPI:** 1609653252 (Entity type: Individual)
- **Enumerated:** September 8, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 50 ACACIA AVE, San Rafael, CA 94901-2230
- **Phone:** (415) 457-4440
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1609653252) · Data from the CMS NPPES public registry.