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

Kyle Nguyen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609653252

Kyle Nguyen is a Physician Assistant in San Rafael, California. Qualified in 2024, 2 years ago. Registered with an NPI since 2023.

Years since qualifying
2
In the registry since
2023
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Practice location Address checks out

50 Acacia Ave
San Rafael, CA 94901-2230
Phone: (415) 457-4440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1609653252
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 8, 2023
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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