KRISTINA THANH NGUYEN PA-C
NPI 1831802552
Physician Assistant - Medical in West Covina, CA

Q: What is Kristina Nguyen's NPI number?

The NPI number for Kristina Nguyen is 1831802552. It was assigned to this individual provider in the NPPES registry on December 27, 2022.

Q: What is Kristina Nguyen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kristina Nguyen was last updated on July 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 27, 2022PECOS EnrolledAccepts Medicare Assignment

1115 S SUNSET AVE, WEST COVINA, CA 91790(626) 962-4011 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 18, 2024, Dec 27, 2022 (2 updates tracked since 2022).

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About Kristina Thanh Nguyen Pa-c NPPES

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

KRISTINA THANH NGUYEN PA-C (NPI 1831802552) is an individual medical provider in West Covina, California, licensed in California (PA64640) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Berea, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1831802552

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKRISTINA THANH NGUYENCredential: PA-C

Location Address1115 S SUNSET AVEWest Covina, CA 91790-3940

Mailing Address115 S Sunset AveWest Covina, CA 91790 · (626) 962-4011

Phone(626) 962-4011

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 27, 2022

Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration

NPPES CertifiedJune 14, 2024

✔ NPI 1831802552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA64640

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1115 S SUNSET AVE, West Covina, CA 91790

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Secondary Practice Location 1

Location 1275 Eastland RdBerea, OH 44017-2005 · Phone (440) 826-8012

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

Kristina Thanh Nguyen Pa-c 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 ID4082152160

PECOS Enrollment IDI20240820004207

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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

25 services25 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

18 services18 patients

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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.

MRS. CLAIRE MARIE TABARES FNP-C

Nurse Practitioner