DR. HENRY NGUYEN (D.O., D.D.S) – Family Medicine Physician, NPI 1184989170

DR. HENRY NGUYEN (D.O., D.D.S) is a healthcare provider. based in Garden grove, California. specializing in FAMILY PRACTICE. They hold the professional credentials D.O., D.D.S. They hold a License No. 62270 (CA). The NPI Number for DR. HENRY NGUYEN (D.O., D.D.S) is 1184989170

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. HENRY NGUYEN (D.O., D.D.S)
NPI
1184989170
Phone
(714) 675-1299
Address
13483 PROSPERITY PL
Enumeration Date
6 July 2012
Last Update Date
27 October 2023

Doctor Profile

Medical School Name
TOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Secondary Phone
5628003883
Graduation Year
2019 (7 years ago)
PAC ID
2264815018
Group Practice PAC ID
9032359534
Professional Enrollment ID
I20220811003179
Address ID
CA907122413LA5101XBLVD300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
FHIR Endpoint
https://memorialcare.org/fhir/api/FHIR/R4/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:13State licenses:3Other namesUpdated within 12 months

13,194 FAMILY PRACTICE in CA

Provider Addresses for DR. HENRY NGUYEN (D.O., D.D.S)

  • 13483 PROSPERITY PL

    GARDEN GROVE, CA 928432700

    Phone: (714) 675-1299

    Type: Mailing

  • 9906 IMPERIAL HWY

    DOWNEY, CA 90242

    Phone: (562) 382-6008

    Type: Location

  • 15464 GOLDENWEST ST

    WESTMINSTER, CA 926836149

    Phone: (714) 891-9008

    Fax: (714) 897-7949

    Type: Mailing

  • 15464 GOLDENWEST ST.

    WESTMINSTER, CA 92683

    Phone: (714) 891-9008

    Fax: (714) 897-7949

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $449.

Total Amount is formed as General ($449) + Research ($0) + Ownership ($0) = $449.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Ultradent Products Inc ($312).

Total Amount

$449

General + Research + Ownership

Payments

5

Total payment records

General Amount

$449

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2022-08-11

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220811003179IFamily 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 minutes7361$0
99214Established patient office or other outpatient visit, 30-39 minutes4234$0
36415Insertion of needle into vein for collection of blood sample3025$0
View full utilization report →

Insurance plans in this area (ZIP 92843)

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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: 9032359534View full group profile
NameSpecialtyState
Emergency MedicineCA
Physician AssistantCA
Emergency MedicineCA
Physician AssistantCA
Emergency MedicineCA
Physician AssistantCA
Emergency MedicineCA
Nurse PractitionerCA
Physician AssistantCA
Emergency MedicineCA

Reviews

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Frequently asked questions

Does DR. HENRY NGUYEN (D.O., D.D.S) have a public NPI I can cite?
Public records show DR. HENRY NGUYEN (D.O., D.D.S) under NPI 1184989170.
Is DR. HENRY NGUYEN (D.O., D.D.S)'s NPI status active today?
Active status means DR. HENRY NGUYEN (D.O., D.D.S)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. HENRY NGUYEN (D.O., D.D.S)?
NPPES ties DR. HENRY NGUYEN (D.O., D.D.S) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. HENRY NGUYEN (D.O., D.D.S)?
The directory associates DR. HENRY NGUYEN (D.O., D.D.S) with Garden Grove, California. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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