NGUYEN NGUYEN – Family Medicine Physician, NPI 1013364900

NGUYEN NGUYEN is a healthcare provider. based in Fairfield, California. specializing in FAMILY PRACTICE. They hold a License No. A162315 (CA). The NPI Number for NGUYEN NGUYEN is 1013364900

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
NGUYEN NGUYEN
NPI
1013364900
Phone
(707) 646-5500
Address
2458 HILBORN RD
Enumeration Date
20 May 2016
Last Update Date
15 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7076465500
Graduation Year
2016 (10 years ago)
PAC ID
4183950884
Group Practice PAC ID
3274010871
Professional Enrollment ID
I20190801001057
Address ID
CA945341100FA2470XRDXX308
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:10State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for NGUYEN NGUYEN

  • 2458, Hilborn Road, Fairfield, Solano County, California, 94534, United States

    FAIRFIELD, CA 945341072

    Phone: (707) 646-5500

    Fax: (707) 646-5501

    Type: Location

  • Academic Education Center (AEC), 4800, Alberta Avenue, El Paso, El Paso County, Texas, 79905, United States

    EL PASO, TX 799052709

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $126.

Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.

Last reported payment date: 2023-05-09 • Largest payer in this snapshot: Lilly USA, LLC ($113).

Total Amount

$126

General + Research + Ownership

Payments

2

Total payment records

General Amount

$126

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-08-01

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
I20190801001057IFamily PracticeCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0897Injection, denosumab, 1 mg1,14015$0
99214Established patient office or other outpatient visit, 30-39 minutes338217$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit179179$0
99213Established patient office or other outpatient visit, 20-29 minutes143120$0
99215Established patient office or other outpatient visit, 40-54 minutes8875$0
View full utilization report →

Insurance plans in this area (ZIP 94534)

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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: 3274010871View full group profile
NameSpecialtyState
Nurse PractitionerCA
Infectious DiseaseCA
Physician AssistantCA
Emergency MedicineCA
Nurse PractitionerCA
Physical Therapist In Private PracticeCA
Pulmonary Disease, Allergy/ImmunologyCA
Family PracticeCA
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is the registry number for NGUYEN NGUYEN?
The registry entry for NGUYEN NGUYEN shows NPI 1013364900.
Should I treat NGUYEN NGUYEN as an active provider?
Patients and plans typically see NGUYEN NGUYEN as active in the national extract.
Which specialty label fits NGUYEN NGUYEN?
NPPES ties NGUYEN NGUYEN to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to NGUYEN NGUYEN?
NGUYEN NGUYEN is associated with Fairfield, California in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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