Individual provider Active NPI

Thuong-Phuong Van Arvid Nguyen, M.D.

  • Psychiatry Physician
  • Los Alamitos, CA
National Provider Identifier
1093009565
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A129063 Issued in CA
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

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
A129063CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Psychiatry, Inc. CurrentSince Mar 12, 2023 Accepting new patients
Orange County Asian and Pacific Islander Community Alliance Inc CurrentSince Nov 1, 2023 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.

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.

Verify at the official NPI Registry.