Look up the most recent NPI and PECOS records

Chrystene A. Nguyen

Family Medicine

Allopathic & Osteopathic Physicians

1170 Baker St Ste H1, Costa Mesa, CA 92626-4165

PECOS Enrollment

This provider is enrolled in PECOS as CHRYSTENE NGUYEN.

Based on the most recent information from CMS, provider Chrystene A. Nguyen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1710123609
Provider Type
Individual
Full Name
Nguyen, Chrystene A.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
12/23/2008
Last Updated
11/5/2018

Contact Information

Practice Location

1170 Baker St Ste H1, Costa Mesa, CA 92626-4165

(949) 791-3250

Unlisted Fax

Mailing Location

1170 Baker St Ste H1, Costa Mesa, CA 92626-4165

(949) 791-3250

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License A101855 California

Chrystene A. Nguyen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kao, Michael

Memon, Aisha

Do, Hau

Kim, Peter Lee

Jeff P. Deleon, Do., Inc.

Gn Medical Associates, Inc.

Gottschalk, Guy H

Md24 Oc, Inc

Nguyen, Mandy

Rashid, Moira