Active NPI
Evelyn Le Nguyen
- Physician Assistant
- Tustin, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA59228
- Practice address
- 2552 Walnut Ave Ste 200
Tustin, CA 92780-6983 - Phone
- (714) 406-4461
- NPI assigned
- Aug 11, 2017
- Reactivated
- Jan 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA59228 | CA | Primary |
| Medical Physician Assistant | 363AM0700X |
Addresses
Primary practice location
2552 Walnut Ave Ste 200
Tustin, CA 92780-6983
Mailing address
2552 Walnut Ave Ste 200
Tustin, CA 92780-6983
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339
15725 Whittier Blvd
Whittier, CA 90603-2347
Phone (562) 947-1669
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.61 of 100
- Quality
- 58.7
- Improvement activities
- 40
- Cost
- 75.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA59228 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pih Health Physicians | Current | Accepting new patients | |
| Complete Care Community Health Center, Inc | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Complete Care Community Health Center, Inc | Current | Accepting new patients |
Locations
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700
941 S Atlantic Blvd
Ste 101
Monterey Park, CA 91754
Phone (626) 458-8401
15725 Whittier Blvd
Ste 500
Whittier, CA 90603
Phone (562) 448-1350
Interoperability endpoints
- evelynnguyen@pihh.allscriptsdirect.net
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
- PACE Provider Organization
- Los Angeles, CA
- NPI 1215113964
-
- Federally Qualified Health Center (FQHC)
- Visalia, CA
- NPI 1316729403
-
- PACE Provider Organization
- South Gate, CA
- NPI 1811397888
-
- Gastroenterology Physician
- Whittier, CA
- NPI 1376793695
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1184149064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2552 WALNUT AVE STE 200",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2552 WALNUT AVE STE 200",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806983",
"telephone_number": "714-406-4461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "EVELYN",
"middle_name": "LE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-11",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"deactivation_date": "2020-12-29",
"reactivation_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA59228",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.