Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Khanh Kim Nguyen, PA-C

Individual provider Physician Assistant · NPI 1427312644

Khanh Kim Nguyen, PA-C is a Physician Assistant in San Diego, California. Qualified in 2011, 15 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (800) 926-8273
Fax: (888) 539-8781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4130 La Jolla Village Dr, La Jolla, CA 92037-9121 — (858) 625-7979

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA22239 (CA)

Record details

NPI number1427312644
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 2, 2012
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in San Diego