MIMI NGUYEN
NPI 1770082943
Dermatology in Sacramento, CA
About Mimi Nguyen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIMI NGUYEN (NPI 1770082943) is an individual dermatology provider in Sacramento, California, licensed in California (A178402) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mimi 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mimi Nguyen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sacramento, CA 95833
- Reassigned Medicare billing, California enrollment
- 3,056 clinicians in this Medicare group
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95834 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mimi Nguyen's NPI number?
The NPI number for Mimi Nguyen is 1770082943. It was assigned to this individual provider in the NPPES registry on February 2, 2018.
Where is Mimi Nguyen located?
Mimi Nguyen practices at 2951 Benefit Way, Sacramento, CA 95834. The listed phone number is (916) 285-8165.
What is Mimi Nguyen's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Mimi Nguyen enrolled in Medicare?
Yes. Mimi 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.
Which organizations bill Medicare for Mimi Nguyen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mimi Nguyen reassigns Medicare benefits to 2 organizations: Sutter Valley Medical Foundation (Sacramento, CA) and Permanente Medical Group Inc (Stockton, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mimi Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mimi Nguyen was last updated on October 10, 2024. 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.
# Mimi Nguyen · NPI 1770082943
Dermatology physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since February 2, 2018.
## Identity
- **NPI:** 1770082943 (Entity type: Individual)
- **Enumerated:** February 2, 2018
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** A178402 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2951 BENEFIT WAY, Sacramento, CA 95834-1272
- **Phone:** (916) 285-8165 · **Fax:** (916) 285-8175
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sutter Valley Medical Foundation (NPI 1952327256, Sacramento, CA); Permanente Medical Group Inc (NPI 1548343510, Stockton, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Davis School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** October 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1770082943) · Data from the CMS NPPES public registry.