TEA TU NGUYEN D.P.M.
NPI 1811282494
Podiatrist - Foot & Ankle Surgery in Freedom, CA

Active since June 13, 2011Opted out of Medicare · through Mar 26, 2027
243 GREEN VALLEY RD STE A, FREEDOM, CA 95019(831) 728-8844(831) 763-1001 Get Directions Write a Review

NPPES record last updated: December 18, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 18, 2018, Aug 18, 2016, Dec 22, 2015 (3 updates tracked since 2015).

About Tea Tu Nguyen D.p.m. NPPES

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

TEA TU NGUYEN D.P.M. (NPI 1811282494) is an individual foot & ankle surgery provider in Freedom, California, licensed in California (E5256) and active in the NPI registry since June 2011. She has opted out of Medicare through March 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1811282494
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameTEA TU NGUYENCredential: D.P.M.
Location Address243 GREEN VALLEY RD STE AFreedom, CA 95019-3133
Mailing Address243 Green Valley Rd Ste AFreedom, CA 95019-3133 · (831) 288-3400 · Fax (831) 319-4637
Fax(831) 763-1001
Sole ProprietorNo
Enumeration DateJune 13, 2011
Last NPPES UpdateDecember 18, 20183 updates tracked since enumeration
NPI 1811282494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in CA · E5256
243 GREEN VALLEY RD STE A, Freedom, CA 95019

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Tea Tu Nguyen D.p.m. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 26, 2021 through March 26, 2027.

Opt-Out Effective DateMarch 26, 2021
Opt-Out In Effect ThroughMarch 26, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

Podiatrist (Primary Podiatric Medicine)
243 GREEN VALLEY RD STE A
FREEDOM, CA 95019
Internal Medicine (Nephrology)
243 GREEN VALLEY RD STE A
FREEDOM, CA 95019

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811282494, enumerated as an "individual" on June 13, 2011.

The provider is located at 243 GREEN VALLEY RD STE A FREEDOM, CA 95019 and the phone number is (831) 728-8844.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.