Active NPI
Tiffany Thao Nguyen, NP
- Primary Care Nurse Practitioner
- Westminster, CA
National Provider Identifier
1194489310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 19984
- Practice address
- 7895 Westminster Blvd
Westminster, CA 92683-4043 - Phone
- (714) 379-4797
- NPI assigned
- Oct 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 19984 | CA | Primary |
Addresses
Primary practice location
7895 Westminster Blvd
Westminster, CA 92683-4043
Mailing address
14712 Danborough Rd
Tustin, CA 92780-6711
Phone (714) 310-4122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19984 | Other | CA | NURSE PRACTITIONER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Westminster | Direct |
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19984 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1194489310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14712 DANBOROUGH RD",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806711",
"telephone_number": "714-310-4122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7895 WESTMINSTER BLVD",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926834043",
"telephone_number": "714-379-4797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TIFFANY",
"middle_name": "THAO",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-25",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "19984",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER",
"identifier": "19984",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Westminster",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Westminster",
"address_1": "7895 Westminster Blvd",
"city": "Westminster",
"state": "CA",
"country_code": "US",
"postal_code": "926834043",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.