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PHUONG THI DU NGUYEN PA-C
NPI 1962054213
Physician Assistant in Fremont, CA

Active since July 16, 2019PECOS EnrolledAccepts Medicare Assignment
39465 PASEO PADRE PKWY STE 2600, FREMONT, CA 94538(510) 456-2390 Get Directions Write a Review

NPPES record last updated: May 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 14, 2020, Jul 16, 2019 (2 updates tracked since 2019).

About Phuong Thi Du Nguyen Pa-c NPPES

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

PHUONG THI DU NGUYEN PA-C (NPI 1962054213) is an individual physician assistant in Fremont, California, licensed in California (58688) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pleasanton, and is a graduate of University Of Utah School Of Medicine (2020).

NPPES Registry Identity

NPI1962054213
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePHUONG THI DU NGUYENCredential: PA-C
Location Address39465 PASEO PADRE PKWY STE 2600Fremont, CA 94538-1631
Mailing Address39465 Paseo Padre Pkwy Ste 2600Fremont, CA 94538-1631 · (510) 456-2390
Phone(510) 456-2390
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2020
Enumeration DateJuly 16, 2019
Last NPPES UpdateMay 4, 20252 updates tracked since enumeration
NPPES CertifiedMay 4, 2025
✔ NPI 1962054213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 58688
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
39465 PASEO PADRE PKWY STE 2600, Fremont, CA 94538
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Secondary Practice Location 1

Location 15575 W Las Positas Blvd Ste 230Pleasanton, CA 94588-5802 · Phone (925) 416-1122

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

Phuong Thi Du 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 ID9931620739
PECOS Enrollment IDI20250310002203
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94538 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Phuong Thi Du Nguyen's NPI number?

The NPI number for Phuong Thi Du Nguyen is 1962054213. It was assigned to this individual provider in the NPPES registry on July 16, 2019.

Where is Phuong Thi Du Nguyen located?

Phuong Thi Du Nguyen practices at 39465 Paseo Padre Pkwy Ste 2600, Fremont, CA 94538. The listed phone number is (510) 456-2390.

What is Phuong Thi Du Nguyen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Phuong Thi Du Nguyen enrolled in Medicare?

Yes. Phuong Thi Du 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.

When was this NPI record last updated?

The NPPES record for Phuong Thi Du Nguyen was last updated on May 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.