MY PHUONG PHAM NGUYEN (NPI# 1104218494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104218494 |
| Entity Type | Individual |
| Full Name | MY PHUONG PHAM NGUYEN |
| Other Name | PHUONG MY NGUYEN |
| Credential | N.P. |
| Practice Address |
1010 W La Veta Ave Ste 750 Orange CA 92868-4300 |
| Mailing Address |
1310 W Stewart Dr Ste 410 Orange CA 92868-3854 |
| Practice Telephone | 7143616600 |
| Mailing Telephone | 7146399401 |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-12-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95001664 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NP LICENSE & FURNISHING NUMBER | 95001664 | 01 |
| CA | RN LICENSE | 767746 | 01 |
| CA | TYPE 2 NPI | 1912919804 | 01 |
| Street Address |
1010 W LA VETA AVE STE 750 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659371581 | Troy Michael Reyna | Surgery | 1010 W La Veta Ave, Suite 640, Orange, CA 92868-4300 | 2005-07-21 |
| 1053849406 | Amy Nicole Woody | Emergency Medicine | 1010 W La Veta Ave, Orange, CA 92868-4300 | 2017-05-30 |
| 1730636226 | Jennifer Choe | Nurse Practitioner | 1010 W La Veta Ave, #570, Orange, CA 92868-4300 | 2016-09-01 |
| 1427419530 | Daniel Chiu | Registered Nurse | 1010 W La Veta Ave, Suite 570, Orange, CA 92868-4300 | 2016-03-16 |
| 1548509102 | Elizabeth Anne Kovacs | Registered Nurse | 1010 W La Veta Ave, Ste 610, Orange, CA 92868-4300 | 2013-02-01 |
| 1003182130 | Kathryn L Thompson | Physician Assistant | 1010 W La Veta Ave, 200, Orange, CA 92868-4300 | 2012-03-22 |
| 1326327933 | Lawrence David Wagman Md Professional Corporation | Surgery | 1010 W La Veta Ave, Ste 470, Orange, CA 92868-4300 | 2011-08-12 |
| 1679875942 | Center for Comprehensive Care & Diagnosis of Inherited Blood Disorders | Clinic/Center | 1010 W La Veta Ave, Suite 670, Orange, CA 92868-4300 | 2010-11-18 |
| 1881995199 | Keller Eye Associates, Inc. A Medical Group | Specialist | 1010 W La Veta Ave, Suite 175, Orange, CA 92868-4300 | 2010-11-03 |
| 1043523707 | Missra Rezvani | Nurse Practitioner | 1010 W La Veta Ave, Ste 750, Orange, CA 92868-4300 | 2010-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452966 | Velvet Maloy | Nurse Practitioner | 1312 County Road 3139, Orange, TX 77632-1633 | 2020-09-18 |
| 1265048151 | Christina Marie O'guinn | Nurse Practitioner | 2660 N Santiago Blvd # 100, Orange, CA 92867-1859 | 2020-09-16 |
| 1548871429 | Holley Moreau | Nurse Practitioner | 6136 Crosstimber Dr, Orange, TX 77632-7610 | 2020-08-13 |
| 1174147581 | Stephanie Michelle Chapman | Nurse Practitioner | 387 N Clark St, Orange, CA 92868-2218 | 2020-06-01 |
| 1952920621 | Natasha Caruth | Nurse Practitioner | 301 Seven Oaks Way, Orange, NJ 07050-3376 | 2020-04-13 |
| 1053944488 | Laura Lee Arvizo | Nurse Practitioner | 432 County Road 3139, Orange, TX 77632-1532 | 2020-02-13 |
| 1447801402 | Joel George Pohorence | Nurse Practitioner | 10080 E Greenwood Dr, Orange, TX 77630-3241 | 2019-09-21 |
| 1477114122 | Beverley P Brownell | Nurse Practitioner | 1215 E. Chapman Avenue, Orange, CA 92866 | 2019-06-24 |
| 1568924793 | Denise Giovanazzi Weinberg | Nurse Practitioner | 3215 East Abbey Lane, Orange, CA 92867 | 2019-04-05 |
| 1033688445 | Tatiana Tumeniuk | Nurse Practitioner | 240 Indian River Rd Ste A5, Orange, CT 06477-3690 | 2018-11-14 |
| Find all providers in ORANGE | ||||
Please comment or provide details below to improve the information on MY PHUONG PHAM NGUYEN.
| 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.