GWENDOLYN NGUYEN (NPI# 1023674298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023674298 |
| Entity Type | Individual |
| Full Name | GWENDOLYN NGUYEN |
| Credential | PA-C |
| Practice Address |
101 E Valencia Mesa Dr Fullerton CA 92835-3809 |
| Mailing Address |
Po Box 5485 Fullerton CA 92838-0485 |
| Practice Telephone | 7146518138 |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2020-02-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA57394 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4080 W 1st St Spc 284, Santa Ana, CA 927034028 | 7146752468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942653506 | Gwendolyn Quynh Ngoc Nguyen | Pharmacist | 300 Pullman St, Livermore, CA 94551-9756 | 2016-07-19 |
| Street Address |
101 E VALENCIA MESA DR |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-3809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912989591 | Pei-jing Ma | Physician Assistant | 101 E Valencia Mesa Dr, Em Dept, Fullerton, CA 92835-3809 | 2005-11-18 |
| 1508493461 | Key Medical Rehab Inc. | Physical Medicine & Rehabilitation | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2020-03-23 |
| 1902439938 | Collin Michael Fuhrman | Physician Assistant | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2020-02-18 |
| 1427697762 | Ashley Jungkman | Dietitian, Registered | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2020-01-03 |
| 1720632136 | Ken Yu Ki Chan | Nurse Practitioner | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2019-07-25 |
| 1548812332 | Don R Miller | Pharmacist | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2019-07-11 |
| 1700445640 | Hanna Ro | Physician Assistant | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2019-06-12 |
| 1073072963 | Daniel Benjamin Graviloni | Respiratory Therapist, Registered | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2019-03-19 |
| 1639655947 | Noli Veneracion | Physical Therapist | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2018-07-19 |
| 1346726908 | Tracy Nickloff | Social Worker | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2018-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881234714 | Erica Marie Shepard | Physician Assistant | 909 Oakdale Ave, Fullerton, CA 92831-2912 | 2020-01-08 |
| 1154889327 | Rose-ann Guevarra | Physician Assistant | 735 W Hill Ave, Fullerton, CA 92832-2819 | 2019-03-06 |
| 1033694054 | Nida Mansoor | Physician Assistant | 1565 S Harbor Blvd, Fullerton, CA 92832-3402 | 2018-09-25 |
| 1467804112 | Megan Kyoko Schulz | Physician Assistant | 3251 Santa Monica Ave, Fullerton, CA 92835-1703 | 2016-07-06 |
| 1104283183 | Patricia Buchholtz | Physician Assistant | 808 N Tamarack Dr, Fullerton, CA 92832-2137 | 2016-01-21 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| 1114343886 | Silvia Albertini | Physician Assistant | 300 W Las Palmas Dr, Fullerton, CA 92835-1534 | 2014-03-05 |
| 1629322110 | Maria Mehaela Tiu | Physician Assistant | 2720 N Harbor Blvd Ste 130, Fullerton, CA 92835-2625 | 2012-11-05 |
| 1649535600 | David Chong | Physician Assistant | 1319 Ponderosa Ave, Fullerton, CA 92835-2034 | 2012-07-05 |
| 1851615371 | Bung Joo Choi | Physician Assistant | 1117 Klose Ln, Fullerton, CA 92833-5777 | 2010-03-26 |
| Find all providers in FULLERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.