Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH KHANH NGUYEN
DeactivatedKENNETH KHANH NGUYEN is a Student (Health Education/Training) healthcare provider located in SAN DIMAS, California. NPI 1881479970 is deactivated in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · SAN DIMAS, CA
This NPI has been deactivated.
The record was deactivated on August 28, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1881479970
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2023 (2 yrs)
- Last Updated
- Sep 18, 2025
- Deactivated
- Aug 28, 2025
Practice Information
- Address
-
180 VIA VERDE STE 200SAN DIMAS, CA, 917733993Browse CA providers · Browse ZIP 91773
- Phone
- 9095991227
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in SAN DIMAS, CA
| Name | Credential | NPI |
|---|---|---|
| MANYA BOHANNON | — | 1366715336 |
| ANGELINA CARDENAS | — | 1851648745 |
| MR. DASHAUN DANIEL DUNN | — | 1861936304 |
| VANESSA PEREZ | — | 1699284893 |
| JOYCE CAROLINA LAU | — | 1336652320 |
| YULIYA JENSEN | — | 1316446214 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.