KATHLENE MANIMTIM NGUYEN
NPI 1699415620
Nurse Practitioner in Fontana, CA

Q: What is Kathlene Nguyen's NPI number?

The NPI number for Kathlene Nguyen is 1699415620. It was assigned to this individual provider in the NPPES registry on March 29, 2022. The provider is also known as Kathlene Villegas Manimtim.

Q: What is Kathlene Nguyen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathlene Nguyen was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 29, 2022PECOS Enrolled

7159 MYRTLE PL, FONTANA, CA 92336(619) 415-9181 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kathlene Manimtim Nguyen NPPES

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

KATHLENE MANIMTIM NGUYEN (NPI 1699415620) is an individual nurse practitioner in Fontana, California, licensed in California (95020377) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1699415620

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKATHLENE MANIMTIM NGUYEN

Location Address7159 MYRTLE PLFontana, CA 92336-5706

Mailing Address7159 Myrtle PlFontana, CA 92336-5706 · (619) 415-9181

Phone(619) 415-9181

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 29, 2022

NPPES CertifiedMarch 29, 2022

✔ NPI 1699415620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95020377

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

7159 MYRTLE PL, Fontana, CA 92336

Open in Google Maps ↗

Other Names 1

Former Name (1)Kathlene Villegas Manimtim

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathlene Manimtim Nguyen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224406681

PECOS Enrollment IDI20251208001666

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 92336 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

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 Kathlene Nguyen's NPI number?

The NPI number for Kathlene Nguyen is 1699415620. It was assigned to this individual provider in the NPPES registry on March 29, 2022. The provider is also known as Kathlene Villegas Manimtim.

Where is Kathlene Nguyen located?

Kathlene Nguyen practices at 7159 Myrtle Pl, Fontana, CA 92336. The listed phone number is (619) 415-9181.

What is Kathlene Nguyen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kathlene Nguyen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kathlene Nguyen was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.