Individual provider Active NPI

Vy Nguyen

  • Physician Assistant
  • Rosemead, CA
National Provider Identifier
1174156475
Registry record updated Feb 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9126 Valley Blvd Ste B
Rosemead, CA 91770-1987
Phone
(818) 913-4134
NPI assigned
Feb 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

9126 Valley Blvd Ste B
Rosemead, CA 91770-1987

Mailing address

9126 Valley Blvd Ste B
Rosemead, CA 91770-1987

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
I20220620001571 CA Practitioner - Physician Assistant 1052790110 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
57798CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of California PC CurrentSince Jan 12, 2023 Accepting new patients

Locations

2690 5th St
Ste B
Alameda, CA 94501
Phone (510) 439-9447

3195 Harbor Blvd
Ste 3
Costa Mesa, CA 92626
Phone (714) 263-0227

10165 Valley View St
Cypress, CA 90630
Phone (657) 348-2427

14443 Culver Dr
#14443A
Irvine, CA 92604
Phone (949) 767-8173

1040 W Imperial Hwy
Ste D
La Habra, CA 90631
Phone (714) 451-1072

3851 Katella Ave
Ste 100
Los Alamitos, CA 90720
Phone (562) 424-5450

858 N Rose Dr
Ste C2
Placentia, CA 92870
Phone (714) 792-3736

2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990

Interoperability endpoints

  • Direct secure messaging: vnguyen718525@hisp.ehr.sutterhealth.org

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": "1581724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581724800000",
    "number": "1174156475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9126 VALLEY BLVD STE B",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9126 VALLEY BLVD STE B",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701987",
            "telephone_number": "818-913-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-15",
        "last_updated": "2020-02-15",
        "certification_date": "2020-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

Verify at the official NPI Registry.