Organization Active NPI

Hung Nguyen, DO, a Professional Corporation

  • Family Medicine Physician
  • Orange, CA
National Provider Identifier
1063637080
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A8568 Issued in CA
Legal business name
HUNG NGUYEN, DO, A PROFESSIONAL CORPORATION
Practice address
438 E Katella Ave Ste F
Orange, CA 92867-4857
Phone
(562) 869-6400
Fax
(714) 621-0096
NPI assigned
Apr 16, 2007
Last updated
Apr 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Dr. Hung M Nguyen, D.O.NPI 1447284526
Title
D.O.
Phone
(714) 296-6264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A8568 CA Primary

Addresses

Primary practice location

438 E Katella Ave Ste F
Orange, CA 92867-4857

Mailing address

12762 Annette Cir
Garden Grove, CA 92840-6103
Phone (714) 296-6264

Other identifiers 1

IdentifierTypeStateIssuer
00AX85680MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050902000729 CA Part B Supplier - Clinic/Group Practice 4183655640 Receives reassigned benefits from 1 practitioner
Practice locations: Studio City, CA; Pico Rivera, CA; Downey, CA; Norwalk, CA; Long Beach, CA; La Mirada, CA; Bellflower, CA; Lakewood, CA

National Provider Directory

National Provider Directory

Locations

3700 South St
Lakewood, CA 90712
Phone (562) 424-2900

438 E Katella Ave
Ste F
Orange, CA 92867
Phone (714) 296-6264

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1063637080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12762 ANNETTE CIR",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928406103",
            "telephone_number": "714-296-6264",
            "fax_number": "714-621-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 E KATELLA AVE STE F",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674857",
            "telephone_number": "562-869-6400",
            "fax_number": "714-621-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNG NGUYEN, DO, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HUNG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "D.O.",
        "authorized_official_telephone_number": "714-296-6264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX85680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.