Active NPI
Evelyn Lillian Nguyen, PA-C
- Medical Physician Assistant
- Irvine, CA
National Provider Identifier
1063783413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA16083
- Practice address
- 2192 Martin Ste 110
Irvine, CA 92612-1484 - Phone
- (949) 955-0072
- Fax
- (949) 955-0077
- NPI assigned
- Jan 17, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA16083 | CA | Primary |
Addresses
Primary practice location
2192 Martin Ste 110
Irvine, CA 92612-1484
Mailing address
2192 Martin Ste 110
Irvine, CA 92612-1484
Phone (949) 955-0072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA16083 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fertility Center of Southern California | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Irvine, CA
- NPI 1316162399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326758400000",
"number": "1063783413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2192 MARTIN STE 110",
"city": "IRVINE",
"state": "CA",
"postal_code": "926121484",
"telephone_number": "949-955-0072",
"fax_number": "949-955-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2192 MARTIN STE 110",
"city": "IRVINE",
"state": "CA",
"postal_code": "926121484",
"telephone_number": "949-955-0072",
"fax_number": "949-955-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "EVELYN",
"middle_name": "LILLIAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-17",
"last_updated": "2012-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA16083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.