Individual provider Active NPI

Diana Nguyen, NP

  • Acute Care Nurse Practitioner
  • Westminster, CA
National Provider Identifier
1174160410
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95013361 Issued in CA
Practice address
200 Hospital Cir
Westminster, CA 92683-3910
Phone
(714) 334-5068
NPI assigned
Dec 5, 2019
Last updated
Dec 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95013361 CA Primary

Addresses

Primary practice location

200 Hospital Cir
Westminster, CA 92683-3910

Mailing address

23141 Verdugo Dr Ste 201
Laguna Hills, CA 92653-1341
Phone (949) 215-5055

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
I20200110002363 CA Practitioner - Nurse Practitioner 1153756606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

23141 Verdugo Dr
Suite 201
Laguna Hills, CA 92653-1341
Phone (949) 215-5055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95013361CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oc Pulmonary & Sleep, Inc CurrentSince Jul 1, 2021 Accepting new patients
Orange County Palliative Care Group, a Professional Medical Corp CurrentSince Dec 1, 2019 Accepting new patients

Locations

4790 Irvine Blvd
Ste 105
Irvine, CA 92620
Phone (949) 285-2058

23141 Verdugo Dr
Ste 201
Laguna Hills, CA 92653
Phone (310) 922-2537

1101 Bryan Ave
Ste E
Tustin, CA 92780
Phone (714) 352-5800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1174160410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23141 VERDUGO DR STE 201",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531341",
            "telephone_number": "949-215-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL CIR",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833910",
            "telephone_number": "714-334-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DIANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95013361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.