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

Khoa BA Nguyen

Individual provider Dermatology Physician · NPI 1073139630

Khoa BA Nguyen is a Dermatology in Santa Monica, California. Graduated from University of Florida College of Medicine in 2020, 6 years ago. Practices with The Regents of the University of California, a 35-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Trained at
University of Florida College of Medicine
Licensed in
CA
In the registry since
2020
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Practice location Address checks out

2020 Santa Monica Blvd Ste 510
Santa Monica, CA 90404-2131
Phone: (310) 917-3376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 W California Blvd, Pasadena, CA 91105-3010 — (714) 931-1440

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A186255 (CA)

Record details

NPI number1073139630
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 19, 2020
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice The Regents Of The University Of California — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Other providers in Santa Monica