Active NPI
Thuong-Phuong Van Arvid Nguyen, M.D.
- Psychiatry Physician
- Los Alamitos, CA
National Provider Identifier
1093009565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A129063
- Practice address
- 5122 Katella Ave Ste 202
Los Alamitos, CA 90720-2826 - Phone
- (562) 200-0254
- Fax
- (562) 222-7170
- NPI assigned
- Jun 2, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A129063 | CA | Primary |
Addresses
Primary practice location
5122 Katella Ave Ste 202
Los Alamitos, CA 90720-2826
Mailing address
5122 Katella Ave Ste 202
Los Alamitos, CA 90720-2826
Phone (562) 200-0254
Other practice location 1
12966 Euclid St Ste 495
Garden Grove, CA 92840-9209
Phone (714) 461-3687
Other names 1
- Arvid T.P. Nguyen
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A129063 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Psychiatry, Inc. | Current | Accepting new patients | |
| Orange County Asian and Pacific Islander Community Alliance Inc | Current | Accepting new patients |
Locations
12966 Euclid St
Ste 495
Garden Grove, CA 92840
Phone (714) 461-3687
5122 Katella Ave
Ste 202
Los Alamitos, CA 90720
Phone (562) 200-0254
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Los Alamitos, CA
- NPI 1780384412
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Garden Grove, CA
- NPI 1033896444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1093009565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5122 KATELLA AVE STE 202",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202826",
"telephone_number": "562-200-0254",
"fax_number": "562-222-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5122 KATELLA AVE STE 202",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202826",
"telephone_number": "562-200-0254",
"fax_number": "562-222-7170"
}
],
"practiceLocations": [
{
"address_1": "12966 Euclid St Ste 495",
"address_purpose": "LOCATION",
"city": "Garden Grove",
"state": "CA",
"postal_code": "928409209",
"country_code": "US",
"telephone_number": "714-461-3687",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "THUONG-PHUONG",
"middle_name": "VAN ARVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-02",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A129063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ARVID",
"last_name": "NGUYEN",
"middle_name": "T.P.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.