LINDA LAM NGUYEN (PA-C) – Physician Assistant, NPI 1104670108

LINDA LAM NGUYEN (PA-C) is a healthcare provider. based in Menlo park, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA23138 (CA). The NPI Number for LINDA LAM NGUYEN (PA-C) is 1104670108

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
LINDA LAM NGUYEN (PA-C)
NPI
1104670108
Phone
(650) 482-7546
Address
325 SHARON PARK DR STE D2
Enumeration Date
16 April 2024
Last Update Date
16 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6504827546
Graduation Year
2011 (15 years ago)
PAC ID
8022459072
Group Practice PAC ID
6204207392
Professional Enrollment ID
I20240508003405
Address ID
CA940621381RE100XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for LINDA LAM NGUYEN (PA-C)

  • 325 SHARON PARK DR STE D2

    MENLO PARK, CA 940256804

    Phone: (650) 482-7546

    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)

CMS reports 8 Open Payments records for all available years, with a total value of $236.

Total Amount is formed as General ($236) + Research ($0) + Ownership ($0) = $236.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($191).

Total Amount

$236

General + Research + Ownership

Payments

8

Total payment records

General Amount

$236

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2024-05-08

PECOS data refreshed: 2026-06-15

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
I20240508003405IPhysician AssistantCATBD

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 94025)

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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: 6204207392View full group profile
NameSpecialtyState
Physician AssistantCA
D E R M A T O L O G YCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What identifier follows LINDA LAM NGUYEN (PA-C) across health systems?
The NPI 1104670108 uniquely identifies LINDA LAM NGUYEN (PA-C) in U.S. healthcare data.
Quick check: is LINDA LAM NGUYEN (PA-C) active?
Public NPPES data shows LINDA LAM NGUYEN (PA-C) with an active NPI status right now.
How should patients interpret LINDA LAM NGUYEN (PA-C)'s specialty?
The extract shows Physician Assistant for LINDA LAM NGUYEN (PA-C). Clinical services aligned with this taxonomy classification.
Is LINDA LAM NGUYEN (PA-C) tied to Menlo Park, California?
If you are local to Menlo Park, California, LINDA LAM NGUYEN (PA-C) may be relevant to your search.
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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