Johnathan Quan Ba Nguyen, in Santa Rosa, CA

Johnathan Quan Ba Nguyen, is a medicare enrolled "Family Medicine" physician in Santa Rosa, California. He went to University Of Texas Medical Branch At Galveston and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sutter Bay Medical Foundation and his current practice location is 3883 Airway Dr Ste 202, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 526-3360.

Johnathan Quan Ba Nguyen is licensed to practice in California (license number A161013) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689020083.

Contact Information

	Johnathan Quan Ba Nguyen,
	3883 Airway Dr Ste 202, Santa Rosa, CA 95403-1671
	(707) 526-3360
	(707) 573-5406

Map and Direction

Physician's Profile

Full Name	Johnathan Quan Ba Nguyen
Gender	Male
Speciality	Family Practice
Experience	8 Years
Location	3883 Airway Dr Ste 202, Santa Rosa, 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.

Medical Education and Training:

Johnathan Quan Ba Nguyen attended and graduated from University Of Texas Medical Branch At Galveston in 2016

NPI Data:

NPI Number: 1689020083
Provider Enumeration Date: 05/04/2016
Last Update Date: 08/23/2022

Medicare PECOS Information:

PECOS PAC ID: 2062700784
Enrollment ID: I20190821002655

Medical Identifiers

Medical identifiers for Johnathan Quan Ba Nguyen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689020083	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	1169412 (California)	Secondary
207XX0005X	Orthopaedic Surgery - Sports Medicine	A161013 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207Q00000X	Family Medicine	A161013 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
California Pacific Medical Ctr-davies Campus Hosp	San francisco, CA	Hospital
California Pacific Medical Center- Van Ness Campus	San francisco, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sutter Bay Medical Foundation	4284538778	2995

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Johnathan Quan Ba Nguyen allows following entities to bill medicare on his behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johnathan Quan Ba Nguyen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Johnathan Quan Ba Nguyen, 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (707) 521-7777	Johnathan Quan Ba Nguyen, 3883 Airway Dr Ste 202, Santa Rosa, CA 95403-1671 Ph: (707) 526-3360

Reviews and Comments

Family Medicine Doctors in Santa Rosa, CA

Dr. Lyman Bowen Greaves Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3569 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-303-3600 Fax: 707-303-3611
Ellen Betty Kruusmagi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 144 Stony Point Rd, Santa Rosa, CA 95401 Phone: 707-521-4500 Fax: 707-544-4626
Dr. Lucia Dei Roncalli, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Sundown Trl, Santa Rosa, CA 95404 Phone: 510-407-4697
Dr. Michael G Carlston, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2448 Guerneville Rd, Suite 900, Santa Rosa, CA 95403 Phone: 707-545-1554 Fax: 707-545-1595
Anthony K. Boyce, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Richard L. Holve, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Leo Arthur Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr, Suite G-04, Santa Rosa, CA 95405 Phone: 707-303-8360 Fax: 707-303-8361

Johnathan Quan Ba Nguyen, - Medicare Family Practice in Santa Rosa, CA