DR. DUC VAN NGUYEN (M.D.) – Internal Medicine Physician, NPI 1255366928

DR. DUC VAN NGUYEN (M.D.) is a healthcare provider. based in San luis obispo, California. specializing in HOSPITALIST, INTERNAL MEDICINE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. A83670 (CA). The NPI Number for DR. DUC VAN NGUYEN (M.D.) is 1255366928

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. DUC VAN NGUYEN (M.D.)
NPI
1255366928
Phone
(805) 540-4820
Address
1985 REINA CT
Enumeration Date
11 July 2006
Last Update Date
20 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8059293211
Graduation Year
1999 (27 years ago)
PAC ID
1355254764
Group Practice PAC ID
7416868120
Professional Enrollment ID
I20031111000732
Address ID
CA934461312PA2800XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,302 HOSPITALIST in CA

Provider Addresses for DR. DUC VAN NGUYEN (M.D.)

  • 1985, Reina Court, San Luis Obispo, San Luis Obispo County, California, 93405, United States

    SAN LUIS OBISPO, CA 934056188

    Phone: (805) 540-4820

    Type: Mailing

  • 2050 S BLOSSER RD

    SANTA MARIA, CA 934587310

    Phone: (805) 361-8030

    Type: Mailing

  • 2120 CIENAGA ST

    OCEANO, CA 934459016

    Phone: (805) 994-2100

    Fax: (805) 994-2197

    Type: Location

  • Soda Water Works, 1023, Nipomo Street, Downtown, San Luis Obispo, San Luis Obispo County, California, 93401-8114, United States

    STE 110

    SAN LUIS OBISPO, CA 934016155

    Phone: (805) 439-2998

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-02-26

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
I20250226001898IInternal MedicineCATBD

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 93405)

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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: 7416868120View full group profile
NameSpecialtyState
-CA
-CA
Family PracticeCA
C H I R O P R A C T I CCA
C H I R O P R A C T I CCA
Family PracticeCA
Certified Nurse Midwife (Cnm)CA
-CA
C H I R O P R A C T I CCA
Clinical Social WorkerCA

Reviews

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Frequently asked questions

How is DR. DUC VAN NGUYEN (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. DUC VAN NGUYEN (M.D.) with NPI 1255366928.
Is DR. DUC VAN NGUYEN (M.D.) listed as active for patients and plans?
The listing shows DR. DUC VAN NGUYEN (M.D.) as active in the NPI system.
What healthcare role does DR. DUC VAN NGUYEN (M.D.) hold?
Scheduling teams often label DR. DUC VAN NGUYEN (M.D.) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. DUC VAN NGUYEN (M.D.) based?
DR. DUC VAN NGUYEN (M.D.) is tied to San Luis Obispo, California in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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