Individual provider Active NPI

Vivian Nguyen, FNP

  • Family Nurse Practitioner
  • Monterey Park, CA
National Provider Identifier
1164130431
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023216 Issued in CA
Practice address
500 N Garfield Ave Ste 108
Monterey Park, CA 91754-1242
Phone
(323) 868-6328
NPI assigned
Nov 7, 2022
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95023216 CA Primary

Addresses

Primary practice location

500 N Garfield Ave Ste 108
Monterey Park, CA 91754-1242

Mailing address

500 N Garfield Ave Ste 108
Monterey Park, CA 91754-1242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241212003328 CA Practitioner - Nurse Practitioner 7517493620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geriheal PCGroup PAC ID 7416386800, 13 clinicians

Practice addresses (Care Compare)

6245 De Longpre Ave
Los Angeles, CA 90028-8253
Phone (310) 425-2272

9808 Venice Blvd
PH
Culver City, CA 90232-6809
Phone (310) 963-0365

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geriheal PC CurrentSince Sep 5, 2024 Accepting new patients

Locations

9640 Venice Blvd
Culver City, CA 90232
Phone (310) 803-6013

9808 Venice Blvd
Ph
Culver City, CA 90232
Phone (310) 733-4171

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19134/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/23717/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/25529/brand/1/csg/1/fhir/r4

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, 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": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1164130431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N GARFIELD AVE STE 108",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N GARFIELD AVE STE 108",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541242",
            "telephone_number": "323-868-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VIVIAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.