Individual provider Active NPI

Taylor Thanh-Tam Nguyen, PA-C

  • Physician Assistant
  • Newport Beach, CA
National Provider Identifier
1003635277
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
65337 Issued in CA
Practice address
1441 Avocado Ave Ste 802
Newport Beach, CA 92660-7709
Phone
(858) 554-1212
Fax
(949) 620-1222
NPI assigned
Oct 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 65337 CA Primary

Addresses

Primary practice location

1441 Avocado Ave Ste 802
Newport Beach, CA 92660-7709

Mailing address

17260 Santa Lucia St
Fountain Valley, CA 92708-3116
Phone (714) 785-1999

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://memorialcare.org/fhir/api/FHIR/R4/ Health Information Exchange (HIE) MemorialCare Medical Foundation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260303001204 CA Practitioner - Physician Assistant 4082196852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monica Perlman MD IncGroup PAC ID 8820035884, 357 clinicians

Practice addresses (Care Compare)

17585 Harvard Ave
Suite D
Irvine, CA 92614-8545
Phone (858) 554-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65337CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Memorialcare Medical Foundation Physician Assistant CurrentSince Feb 26, 2026 Accepting new patients
Monica Perlman MD Inc. CurrentSince Feb 23, 2026 Accepting new patients
Monica Perlman MD Inc. Past Accepting new patients

Locations

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

17585 Harvard Ave
Ste D
Irvine, CA 92614
Phone (818) 847-6885

1441 Avocado Ave
Ste 802
Newport Beach, CA 92660
Phone (949) 644-9000

1441 Avocado Ave
Ste 301
Newport Beach, CA 92660
Phone (949) 272-2095

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1003635277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17260 SANTA LUCIA ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083116",
            "telephone_number": "714-785-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE STE 802",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607709",
            "telephone_number": "858-554-1212",
            "fax_number": "949-620-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TAYLOR",
        "middle_name": "THANH-TAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "65337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://memorialcare.org/fhir/api/FHIR/R4/",
            "affiliation": "Y",
            "endpointDescription": "MemorialCare FHIR Endpoint",
            "affiliationName": "MemorialCare Medical Foundation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "17360 Brookhurst St",
            "city": "Fountain Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927083720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.