Active NPI
Venus Nguyen
- Family Nurse Practitioner
- El Centro, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95001830
- Practice address
- 1699 N Imperial Ave
El Centro, CA 92243-1320 - Phone
- (760) 352-2551
- Fax
- (888) 631-5155
- NPI assigned
- Mar 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP95001830 | CA | Primary |
Addresses
Primary practice location
1699 N Imperial Ave
El Centro, CA 92243-1320
Mailing address
1699 N Imperial Ave
El Centro, CA 92243-1320
Phone (442) 283-3494
Other practice location 1
290 Main St
Brawley, CA 92227-2351
Phone (760) 352-2551 ext. 3494
Other practice location 2
222 E Cole Blvd
Calexico, CA 92231-3211
Phone (760) 352-2551 ext. 3494
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95001830 | CA | MD | Family Nurse Practitioner |
| 95001830 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imperial Manor Skilled Nursing Inc | Current | Accepting new patients | |
| Vo Medical Center | Current | Accepting new patients | |
| Legacy MD Medical Group Inc | Current | Accepting new patients | |
| Vo Medical Center | Current | Accepting new patients | |
| Legacy MD Medical Group Inc | Past | Accepting new patients |
Locations
290 Main St
Brawley, CA 92227
Phone (760) 352-2551
222 E Cole Blvd
Calexico, CA 92231
Phone (760) 352-2551
222 E Cole Blvd
Ste C
Calexico, CA 92231
Phone (760) 352-2551
690 Otay Lakes Rd
Ste 120
Chula Vista, CA 91910
Phone (619) 397-7800
690 Otay Lakes Rd
Ste 125
Chula Vista, CA 91910
Phone (760) 352-2551
1699 N Imperial Ave
El Centro, CA 92243
Phone (442) 283-3494
1590 S Imperial Ave
El Centro, CA 92243
Phone (760) 352-2551
81812 Doctor Carreon Blvd
Ste E
Indio, CA 92201
Phone (442) 236-1498
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AJDADD/Endpoint/AJDADD
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Imperial Valley Rural Health Clinic | Rural health clinic | Contracted Managing Employee | Aug 30, 2021 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Imperial Valley Rural Health Clinic
- Rural Health Clinic/Center
- Brawley, CA
- NPI 1912662883
Contracted Managing Employee
Organizations & group practices 5
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.
-
dba Imperial Valley Rural Health Clinic
- Rural Health Clinic/Center
- Brawley, CA
- NPI 1912662883
-
- General Practice Physician
- El Centro, CA
- NPI 1073210753
-
- Urgent Care Clinic/Center
- El Centro, CA
- NPI 1609118041
-
- Cardiac Rehabilitation Registered Nurse
- El Centro, CA
- NPI 1447949292
-
- Cardiac Rehabilitation Registered Nurse
- Calexico, CA
- NPI 1285494351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1053705087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1699 N IMPERIAL AVE",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922431320",
"telephone_number": "442-283-3494",
"fax_number": "888-631-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1699 N IMPERIAL AVE",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922431320",
"telephone_number": "760-352-2551",
"fax_number": "888-631-5155"
}
],
"practiceLocations": [
{
"address_1": "290 Main St",
"address_purpose": "LOCATION",
"city": "Brawley",
"state": "CA",
"postal_code": "922272351",
"country_code": "US",
"telephone_number": "760-352-2551 x3494",
"fax_number": "888-631-5150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "222 E Cole Blvd",
"address_purpose": "LOCATION",
"city": "Calexico",
"state": "CA",
"postal_code": "922313211",
"country_code": "US",
"telephone_number": "760-352-2551 x3494",
"fax_number": "888-631-5150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "VENUS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-27",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95001830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.