Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Baolong Viet Nguyen, PA-C

Individual provider Physician Assistant · NPI 1124795299

Mr. Baolong Viet Nguyen, PA-C is a Physician Assistant in San Antonio, Texas. Qualified in 2021, 5 years ago. Practices with Alpesh D. Desai, DO, PA, a 26-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2021
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

8601 Village Dr Ste 104
San Antonio, TX 78217-5509
Phone: (210) 942-4217
Fax: (830) 626-7110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA15028 (TX)

Record details

NPI number1124795299
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 26, 2021
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Alpesh D. Desai, Do, Pa — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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