KIMBERLY VI NGUYEN PA-C
NPI 1962775684
Physician Assistant in Huntington Beach, CA

Active since February 10, 2012PECOS EnrolledAccepts Medicare Assignment
18800 MAIN ST STE 103, HUNTINGTON BEACH, CA 92648(714) 842-8100(714) 842-8181 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2018, Jul 6, 2018, Feb 23, 2018 (3 updates tracked since 2018).

About Kimberly Vi Nguyen Pa-c NPPES

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

KIMBERLY VI NGUYEN PA-C (NPI 1962775684) is an individual physician assistant in Huntington Beach, California, licensed in California (PA22029) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fountain Valley, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1962775684
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY VI NGUYENCredential: PA-C
Location Address18800 MAIN ST STE 103Huntington Beach, CA 92648
Mailing Address18800 Main St Ste 103Huntington Beach, CA 92648-1717 · (714) 842-8100 · Fax (714) 842-8181
Fax(714) 842-8181
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 10, 2012
Last NPPES UpdateJuly 9, 20183 updates tracked since enumeration
NPI 1962775684 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 · PA22029
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.
18800 MAIN ST STE 103, Huntington Beach, CA 92648

Secondary Practice Location 1

Location 117100 Euclid StFountain Valley, CA 92708-4004 · Phone (714) 966-7200

Other Identifiers 1

OtherPA22029CA · Ca Pa License

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

Kimberly Vi 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 ID3577721182
PECOS Enrollment IDI20130718000414
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 92648 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

Nurse Practitioner (Acute Care)
18800 MAIN ST STE 103
HUNTINGTON BEACH, CA 92648
Internal Medicine (Cardiovascular Disease)
18800 MAIN ST STE 103
HUNTINGTON BEACH, CA 92648

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 Kimberly Nguyen's NPI number?

The NPI number for Kimberly Nguyen is 1962775684. It was assigned to this individual provider in the NPPES registry on February 10, 2012.

Where is Kimberly Nguyen located?

Kimberly Nguyen practices at 18800 Main St Ste 103, Huntington Beach, CA 92648. The listed phone number is (714) 842-8100.

What is Kimberly Nguyen's specialty?

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

Is Kimberly Nguyen enrolled in Medicare?

Yes. Kimberly 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 Kimberly Nguyen was last updated on July 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.