KHANH VAN NGUYEN (MD) – Hospitalist Physician, NPI 1295710325

KHANH VAN NGUYEN (MD) is a healthcare provider. based in San jose, California. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. A81065 (CA). The NPI Number for KHANH VAN NGUYEN (MD) is 1295710325

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
KHANH VAN NGUYEN (MD)
NPI
1295710325
Phone
(631) 742-9950
Address
5805 CASTANO DR
Enumeration Date
13 December 2005
Last Update Date
4 January 2026

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
3102140811
Graduation Year
2001 (25 years ago)
PAC ID
3577619915
Group Practice PAC ID
7315842002
Professional Enrollment ID
I20121004000785
Address ID
CA905031637TO3565XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for KHANH VAN NGUYEN (MD)

  • 5805, Castano Drive, San Jose, Santa Clara County, California, 95129, United States

    SAN JOSE, CA 951293062

    Phone: (631) 742-9950

    Type: Mailing

  • Del Amo Hospital, 3330, Lomita Boulevard, Torrance, Los Angeles County, California, 90505, United States

    TORRANCE, CA 905055002

    Phone: (310) 325-9110

    Type: Location

  • 3330 Lomita Blvd

    Torrance, CA 905055002

    Phone: (310) 325-9110

    Type: Location

  • PO BOX 35380

    LAS VEGAS, NV 891335380

    Phone: (702) 579-3203

    Type: Mailing

  • 11 TECHNOLOGY DR

    IRVINE, CA 926182302

    Phone: (949) 923-3200

    Type: Location

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 $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-03-01 • Largest payer in this snapshot: ABBVIE INC. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$15
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: 2012-10-04

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
I20121004000785IInternal 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 95129)

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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: 7315842002View full group profile
NameSpecialtyState
Internal MedicineCA
-CA
-CA
Family PracticeCA
-CA
-CA
Physical Therapist In Private PracticeNV
Internal MedicineCA
-CA
Internal Medicine, Geriatric MedicineCA

Reviews

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Frequently asked questions

What number should I use to identify KHANH VAN NGUYEN (MD) for billing?
Administrative and clinical systems typically use NPI 1295710325 for KHANH VAN NGUYEN (MD).
Is KHANH VAN NGUYEN (MD)'s NPI status active today?
Active status means KHANH VAN NGUYEN (MD)'s NPI record is not deactivated in the public file.
How should patients interpret KHANH VAN NGUYEN (MD)'s specialty?
The extract shows Hospitalist Physician for KHANH VAN NGUYEN (MD). Clinical services aligned with this taxonomy classification.
Can patients visit KHANH VAN NGUYEN (MD) in San Jose, California?
For routing, start with San Jose, California for KHANH VAN NGUYEN (MD), then verify phone and hours locally.
Why is information missing for KHANH VAN NGUYEN (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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