DR. THIENDANG VIET NGUYEN (M.D.) – Anesthesiology Physician, NPI 1003056995

DR. THIENDANG VIET NGUYEN (M.D.) is a healthcare provider. based in Los angeles, California. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. A99080 (CA). The NPI Number for DR. THIENDANG VIET NGUYEN (M.D.) is 1003056995

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. THIENDANG VIET NGUYEN (M.D.)
NPI
1003056995
Phone
(323) 409-7748
Address
1200 N STATE ST
Enumeration Date
4 March 2009
Last Update Date
11 September 2009

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8056526000
Graduation Year
2005 (21 years ago)
PAC ID
6901951219
Group Practice PAC ID
7113173543
Professional Enrollment ID
I20090909000545
Address ID
CA930033099VE3291XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

6,371 ANESTHESIOLOGY in CA

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Provider Addresses for DR. THIENDANG VIET NGUYEN (M.D.)

  • 1200, North State Street, Boyle Heights, Los Angeles, Los Angeles County, California, 90033, United States

    #14-901

    LOS ANGELES, CA 900331029

    Phone: (323) 409-7748

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-09-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090909000545IAnesthesiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90033)

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Provider's Procedures

DR. THIENDANG VIET NGUYEN (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYCA00142Anesthesia for lens surgery1313
ANESTHESIOLOGYCA00790Anesthesia for procedure in upper abdomen including use of an endoscope1515

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113173543View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YOK
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YCA
-CA
A N E S T H E S I O L O G YOH
A N E S T H E S I O L O G YAZ
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

How do I look up DR. THIENDANG VIET NGUYEN (M.D.) by NPI?
Use NPI 1003056995 when you need to reference DR. THIENDANG VIET NGUYEN (M.D.) in forms, claims, or directories.
Is DR. THIENDANG VIET NGUYEN (M.D.)'s NPI currently valid?
The extract we use shows DR. THIENDANG VIET NGUYEN (M.D.) as active.
Does DR. THIENDANG VIET NGUYEN (M.D.) list a primary specialty?
If you are matching referrals, note Anesthesiology Physician for DR. THIENDANG VIET NGUYEN (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. THIENDANG VIET NGUYEN (M.D.)?
We surface Los Angeles, California for DR. THIENDANG VIET NGUYEN (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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