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NGOC NGUYEN PA
NPI 1730960758
Physician Assistant in Marina Del Rey, CA

Active since October 06, 2023PECOS EnrolledAccepts Medicare Assignment
4650 LINCOLN BLVD, MARINA DEL REY, CA 90292(310) 823-8991(310) 577-5694 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2025, Oct 6, 2023 (2 updates tracked since 2023).

About Ngoc Nguyen Pa NPPES

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

NGOC NGUYEN PA (NPI 1730960758) is an individual physician assistant in Marina Del Rey, California, licensed in California (PA65456) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1730960758
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNGOC NGUYENCredential: PA
Location Address4650 LINCOLN BLVDMarina Del Rey, CA 90292-6306
Mailing Address4140 W 190th StTorrance, CA 90504-5513
Phone(310) 823-8991
Fax(310) 577-5694
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 6, 2023
Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1730960758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA65456
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4650 LINCOLN BLVD, Marina Del Rey, CA 90292
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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

Ngoc Nguyen Pa 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 ID3577912260
PECOS Enrollment IDI20250403002106
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 90292 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 20

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

CHASE KRIVASHEI PA
Physician Assistant
4650 LINCOLN BLVD
MARINA DEL REY, CA 90292
Los Angeles County (310) 823-8911
GENERATION MEDICAL SERVICES, A MED CORP
Emergency Medicine
4650 LINCOLN BLVD
MARINA DEL REY, CA 90292
Los Angeles County (469) 401-2386
DR. MANVIR SINGH DHILLON MD
Internal Medicine
4650 LINCOLN BLVD
MARINA DEL REY, CA 90292
Los Angeles County (310) 823-8911
MRS. RESHMA RANGWANI LAKHANI L.C.S.W.
Social Worker (Clinical)
4650 LINCOLN BLVD
MARINA DEL REY, CA 90292
Los Angeles County (310) 760-1777
SUSAN KOHLER MSCCCSLP
Speech-Language Pathologist
4650 LINCOLN BLVD
MARINA DEL REY, CA 90292
Los Angeles County (310) 285-8110
PETREL EMERGENCY PHYSICIANS, A MEDICAL CORPORATION
Emergency Medicine
4650 LINCOLN BLVD
MARINA DEL REY, CA 90292
Los Angeles County (469) 401-2386
MICHELLE RENEE ITKONEN MD
Anesthesiology
4650 LINCOLN BLVD
MARINA DEL REY, CA 90292
Los Angeles County (310) 823-8911
JAMES F KEEFE M D INC
Pathology (Anatomic Pathology & Clinical Pathology)
4650 LINCOLN BLVD
MARINA DEL REY, CA 90292
Los Angeles County (310) 823-8911

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 Ngoc Nguyen's NPI number?

The NPI number for Ngoc Nguyen is 1730960758. It was assigned to this individual provider in the NPPES registry on October 6, 2023.

Where is Ngoc Nguyen located?

Ngoc Nguyen practices at 4650 Lincoln Blvd, Marina Del Rey, CA 90292. The listed phone number is (310) 823-8991.

What is Ngoc Nguyen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ngoc Nguyen enrolled in Medicare?

Yes. Ngoc Nguyen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ngoc Nguyen was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.