KIMCHI NGUYEN (PA-C) – Physician Assistant, NPI 1215435573
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,223 PHYSICIAN ASSISTANT in NV
Provider Addresses for KIMCHI NGUYEN (PA-C)
11475 CENTRAL AVE APT 90
CHINO, CA 917106456
Phone: (410) 940-9910
Type: Mailing
7500 SMOKE RANCH ROAD
STE 200
LAS VEGAS, NV 891280373
Phone: (702) 233-0727
Fax: (702) 233-4799
Type: Mailing
2310 CORPORATE CIR
STE 200
HENDERSON, NV 89074
Phone: (702) 735-8000
Fax: (702) 563-2937
Type: Location
Roswell Avenue, Chino, San Bernardino County, California, 91709, United States
CHINO, CA 917101402
Phone: (909) 591-8200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 65 Open Payments records for all available years, with a total value of $2,223.
Total Amount is formed as General ($2,223) + Research ($0) + Ownership ($0) = $2,223.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($606).
Total Amount
$2,223
General + Research + Ownership
Payments
65
Total payment records
General Amount
$2,223
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $606 |
| ABBVIE INC. | $553 |
| Novo Nordisk Inc | $275 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $253 |
| Lilly USA, LLC | $215 |
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: 2022-08-29
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 |
|---|---|---|---|---|
| I20220829002211 | I | Physician Assistant | NV | 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 | 376 | 107 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 218 | 81 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 151 | 68 | $0 |
| G0008 | Administration of influenza virus vaccine | 15 | 15 | $0 |
Insurance plans in this area (ZIP 91710)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | NV | |
| Physician Assistant | NV | |
| Physician Assistant | NV | |
| U R O L O G Y | NV | |
| - | NV | |
| U R O L O G Y | NV | |
| - | NV | |
| U R O L O G Y | NV | |
| U R O L O G Y | FL | |
| Physician Assistant | NV |
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