NPIMap

Individual provider Active NPI

Elizabeth Y Nghiem, M.D.

  • Infectious Disease Physician
  • Fountain Valley, CA
National Provider Identifier
1083626212
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A62911 Issued in CA
Practice address
11160 Warner Ave
Suite 323
Fountain Valley, CA 92708-4008
Phone
(714) 751-7002
Fax
(714) 751-9340
NPI assigned
Aug 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X A62911 CA Primary

Addresses

Primary practice location

11160 Warner Ave
Suite 323
Fountain Valley, CA 92708-4008

Mailing address

11160 Warner Ave
Suite 323
Fountain Valley, CA 92708-4008
Phone (714) 751-7002

Other identifiers 1

IdentifierTypeStateIssuer
00A629110MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101216000232 CA Practitioner - Infectious Disease 8123216256 Reassigns benefits to 1 organization
Practice locations: Westminster, CA; Tustin, CA; Santa Ana, CA; Garden Grove, CA; Fountain Valley, CA; Huntington Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Temple University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2401 W Chapman Ave
Suite 100
Orange, CA 92868-2327
Phone (714) 432-8884

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
49.5 of 100Reported as individual
Quality
30
Improvement activities
20
Cost
41.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A62911CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Coast Memorial Medical Center Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083626212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE",
            "address_2": "SUITE 323",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084008",
            "telephone_number": "714-751-7002",
            "fax_number": "714-751-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE",
            "address_2": "SUITE 323",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084008",
            "telephone_number": "714-751-7002",
            "fax_number": "714-751-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGHIEM",
        "first_name": "ELIZABETH",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A62911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A629110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.