HOANG NGUYEN (M.D) – Family Medicine Physician, NPI 1124011952

HOANG NGUYEN (M.D) is a healthcare provider. based in Simi valley, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D. They hold a License No. A 60675 (CA). The NPI Number for HOANG NGUYEN (M.D) is 1124011952

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
HOANG NGUYEN (M.D)
NPI
1124011952
Phone
(818) 481-0118
Address
3930 BRIDLECREST AVE
Enumeration Date
26 August 2005
Last Update Date
26 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
8184810118
Graduation Year
1994 (32 years ago)
PAC ID
1951383397
Professional Enrollment ID
I20040601001140
Address ID
CA913043875WE22110BLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for HOANG NGUYEN (M.D)

  • 3930 BRIDLECREST AVE

    SIMI VALLEY, CA 930630200

    Phone: (818) 481-0118

    Fax: (818) 584-8926

    Type: Mailing

  • 22135 ROSCOE BLVD

    SUITE 107

    CANOGA PARK, CA 913043885

    Phone: (818) 481-0118

    Fax: (818) 584-8926

    Type: Location

  • 22110 ROSCOE BLVD STE 100

    WEST HILLS, CA 913043875

    Phone: (818) 481-0118

    Fax: (818) 584-8926

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2024-06-01 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($122).

Total Amount

$122

General + Research + Ownership

Payments

1

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-01

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: 2004-06-01

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
I20040601001140IFamily 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
99213Established patient office or other outpatient visit, 20-29 minutes2815$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1515$0
View full utilization report →

Insurance plans in this area (ZIP 93063)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What number should I use to identify HOANG NGUYEN (M.D) for billing?
Administrative and clinical systems typically use NPI 1124011952 for HOANG NGUYEN (M.D).
Quick check: is HOANG NGUYEN (M.D) active?
Public NPPES data shows HOANG NGUYEN (M.D) with an active NPI status right now.
What services align with HOANG NGUYEN (M.D)'s listing?
HOANG NGUYEN (M.D)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to HOANG NGUYEN (M.D)?
The directory associates HOANG NGUYEN (M.D) with Simi Valley, California. Check all listed addresses for suites or satellite offices.
Can I export HOANG NGUYEN (M.D)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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