PHONG KY NGUYEN M.D
NPI 1770699506
General Practice in Redlands, CA

Q: What is Phong Nguyen's NPI number?

The NPI number for Phong Nguyen is 1770699506. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Q: What is Phong Nguyen's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Phong Nguyen was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 22, 2006PECOS Enrolled

350 TERRACINA BLVD, REDLANDS, CA 92373(909) 335-5500 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 6, 2023, Nov 19, 2021 (2 updates tracked since 2021).

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About Phong Ky Nguyen M.d NPPES

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

PHONG KY NGUYEN M.D (NPI 1770699506) is an individual general practice provider in Redlands, California, licensed in California (A51595) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (1987).

NPPES Registry Identity

NPI1770699506

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NamePHONG KY NGUYENCredential: M.D

Location Address350 TERRACINA BLVDRedlands, CA 92373-4850

Mailing Address2100 Powell St, Ste 900Emeryville, CA 94608-1826 · (510) 350-2600 · Fax (510) 879-9100

Phone(909) 335-5500

Sole ProprietorNo

Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1987

Enumeration DateAugust 22, 2006

Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2023

✔ NPI 1770699506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · A51595

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedEmergency MedicineTaxonomy 207P00000X · License A51595 (CA)

350 TERRACINA BLVD, Redlands, CA 92373

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Other Identifiers 1

Medicaid00A515950CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phong Ky Nguyen M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244135879

PECOS Enrollment IDI20080512000190

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.

Medicare Billing Reassignments

Medicare enrollment records show Phong Nguyen reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America - Auc PC

0.1 mi

General Practice

350 TERRACINA BLVD
Redlands, CA 92373

Reassigned Medicare billing, California enrollment
55 clinicians in this Medicare group

NPI 1366816969 (909) 335-5500

Cep America - California

0.1 mi

Emergency Medicine

350 TERRACINA BLVD
Redlands, CA 92373

Reassigned Medicare billing, California enrollment
2,323 clinicians in this Medicare group

NPI 1619926771 (909) 335-6449

Rehab Labs

51 mi

Rehabilitation

72855 FRED WARING DR STE C20
Palm Desert, CA 92260

Reassigned Medicare billing, California enrollment

NPI 1841920253 (760) 404-0360

Bl Anderson Medical Corporation

71 mi

Family Medicine

10890 THORNMINT RD
San Diego, CA 92127

Reassigned Medicare billing, California enrollment
19 clinicians in this Medicare group

NPI 1821627639 (619) 407-8545

Medamerica Physician Solutions PC

381 mi

Clinic/Center

112 LA CASA VIA STE 135
Walnut Creek, CA 94598

Reassigned Medicare billing, California enrollment
27 clinicians in this Medicare group

NPI 1487237111 (925) 471-4291

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 11

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.

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

636 services149 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

92 services92 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

87 services63 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

71 services33 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.

42 services19 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

38 services19 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

32 services32 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

22 services13 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

19 services16 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

11 services11 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

11 services11 patients

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.

DEBORAH LEE BEHRINGER MD

Emergency Medicine

350 TERRACINA BLVD, BANGASSER WOUND CARE CENTER
REDLANDS, CA 92373

San Bernardino County (909) 478-6731

MARK ALAN HIDAY F.N.P.-C

Nurse Practitioner