DZUNG CONG NGUYEN (PA-C) – Physician Assistant, NPI 1114534286
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for DZUNG CONG NGUYEN (PA-C)
300 PASTEUR DR
STANFORD, CA 943052200
Phone: (650) 723-4000
Type: Mailing
24870 NEWGARDEN ST
MORENO VALLEY, CA 925517423
Phone: (310) 967-9895
Type: Location
5555 W Las Positas Blvd
Pleasanton, CA 945884000
Phone: (310) 967-9895
Type: Location
5555 W LAS POSITAS BLVD
PLEASANTON, CA 945884000
Phone: (310) 967-9895
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $1,592.
Total Amount is formed as General ($1,592) + Research ($0) + Ownership ($0) = $1,592.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: ABBVIE INC. ($1,491).
Total Amount
$1,592
General + Research + Ownership
Payments
12
Total payment records
General Amount
$1,592
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,491 |
| AstraZeneca Pharmaceuticals LP | $51 |
| Merck Sharp & Dohme LLC | $28 |
| Takeda Pharmaceuticals U.S.A., Inc. | $22 |
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: 2021-05-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210511002563 | I | Physician Assistant | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 40 | 39 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 20 | 20 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 94305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CA | |
| Physician Assistant | CO | |
| - | CA | |
| Physician Assistant | CA | |
| Emergency Medicine | CA | |
| Emergency Medicine | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Emergency Medicine | CA | |
| Physician Assistant | CA |
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