NGUYEN NGUYEN
NPI 1780063024
Family Medicine in Colton, CA

Q: What is Nguyen Nguyen's NPI number?

The NPI number for Nguyen Nguyen is 1780063024. It was assigned to this individual provider in the NPPES registry on May 20, 2015.

Q: What is Nguyen 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 Nguyen Nguyen was last updated on December 6, 2021. 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 May 20, 2015PECOS EnrolledAccepts Medicare Assignment

400 N PEPPER AVE, COLTON, CA 92324(909) 580-3366(909) 580-3332 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 6, 2021, Dec 13, 2018 (2 updates tracked since 2018).

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About Nguyen Nguyen NPPES

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

NGUYEN NGUYEN (NPI 1780063024) is an individual family medicine provider in Colton, California, licensed in California (20A14951) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1780063024

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameNGUYEN NGUYEN

Location Address400 N PEPPER AVEColton, CA 92324-1801

Mailing Address3875 Avocado BlvdLa Mesa, CA 91941-7303 · (800) 290-5000

Phone(909) 580-3366

Fax(909) 580-3332

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMay 20, 2015

Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration

✔ NPI 1780063024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 20A14951

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.

400 N PEPPER AVE, Colton, CA 92324

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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

Nguyen 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 ID9133468408

PECOS Enrollment IDI20190304002034

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 Reassignment

Medicare enrollment records show Nguyen Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

31 mi

Health Maintenance Organization

441 N LAKEVIEW AVE
Anaheim, CA 92807

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1952333460 (714) 279-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92324 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.

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.

CATHERINE J CALHOUN

Licensed Psychiatric Technician