JOHNATHAN QUAN BA NGUYEN
NPI 1689020083
Family Medicine in Santa Rosa, CA

Q: What is Johnathan Nguyen's NPI number?

The NPI number for Johnathan Nguyen is 1689020083. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Q: What is Johnathan Nguyen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Johnathan Nguyen was last updated on August 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 04, 2016PECOS EnrolledAccepts Medicare Assignment

3883 AIRWAY DR STE 202, SANTA ROSA, CA 95403(707) 526-3360(707) 573-5406 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 23, 2022, Sep 2, 2020, Jul 26, 2019 (3 updates tracked since 2019).

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About Johnathan Quan Ba Nguyen NPPES

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

JOHNATHAN QUAN BA NGUYEN (NPI 1689020083) is an individual family medicine provider in Santa Rosa, California, licensed in California (A161013) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of University Of Texas Medical Branch At Galveston (2016).

NPPES Registry Identity

NPI1689020083

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOHNATHAN QUAN BA NGUYEN

Location Address3883 AIRWAY DR STE 202Santa Rosa, CA 95403-1671

Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (707) 521-7777 · Fax (707) 573-5426

Phone(707) 526-3360

Fax(707) 573-5406

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2016

Enumeration DateMay 4, 2016

Last NPPES UpdateAugust 23, 20223 updates tracked since enumeration

NPPES CertifiedAugust 23, 2022

✔ NPI 1689020083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CA · A161013✔ Licensed in CA · 1169412

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License A161013 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3883 AIRWAY DR STE 202, Santa Rosa, CA 95403

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Secondary Practice Locations 5

Location 114023 Southwest FwySugar Land, TX 77478-3550 · Phone (281) 325-4100 · Fax (281) 325-4292

Location 26801 Park Ter Ste 400Los Angeles, CA 90045-9212 · Phone (323) 307-8193

Location 3131 Stony Cir Ste 1600Santa Rosa, CA 95401-9520 · Phone (707) 541-7700 · Fax (707) 573-5415

Location 42455 Summerfield RdSanta Rosa, CA 95405-7815 · Phone (707) 308-2815 · Fax (707) 573-5439

Location 54700 Hoen AveSanta Rosa, CA 95405-7824 · Phone (707) 526-3360 · Fax (707) 573-5406

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

Johnathan Quan Ba 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 ID2062700784

PECOS Enrollment IDI20190821002655

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 9

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.

205 services150 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

84 services16 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.

52 services39 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

41 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

33 services30 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.

23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

5 suppliers13 claims27 services$5.86 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 17

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

SANTA ROSA COMMUNITY HEALTH CENTER

Clinic/Center (Federally Qualified Health Center (FQHC))