| Si Van Nguyen, MD | |
|
12601 Garden Grove Blvd, Pathology Dept., Garden Grove, CA 92843-1908 | |
| (949) 874-0827 | |
| (310) 698-7054 |
| Full Name | Si Van Nguyen |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 36 Years |
| Location | 12601 Garden Grove Blvd, Garden Grove, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841234952 | NPI | - | NPPES |
| 00A489040 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A48904 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Bernardine Medical Center | San bernardino, CA | Hospital |
| West Anaheim Medical Center | Anaheim, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Affiliated Pathologists Medical Group, Inc. | 7315840535 | 44 |
| Entity Name | Affiliated Pathologists Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730119553 PECOS PAC ID: 7315840535 Enrollment ID: O20040127000838 |
| Mailing Address | Practice Location Address |
|---|---|
| Si Van Nguyen, MD 20001 S Rancho Way, Rancho Dominguez, CA 90220-6318 Ph: (310) 225-3244 | Si Van Nguyen, MD 12601 Garden Grove Blvd, Pathology Dept., Garden Grove, CA 92843-1908 Ph: (949) 874-0827 |
Dr. John Chatfield Hiserodt, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 7707 Garden Grove Blvd, Garden Grove, CA 92841 Phone: 714-902-1762 Fax: 657-400-9073 | |
Dr. Antony Eugene Chen, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 12601 Garden Grove Blvd, Garden Grove, CA 92843 Phone: 714-741-2765 Fax: 714-537-8968 | |
Jon P Lake, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 12601 Garden Grove Blvd, Garden Grove, CA 92843 Phone: 714-741-2765 Fax: 714-590-2490 |