Active NPI
Diem-Tran Isabelle Nguyen, MD
- Allergy & Immunology Physician
- Orange, CA
National Provider Identifier
1215498761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- A194587
- Practice address
- 725 W la Veta Ave Ste 100
Orange, CA 92868-4445 - Phone
- (714) 633-6363
- Fax
- (714) 633-0178
- NPI assigned
- Mar 27, 2019
- 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | A194587 | CA | Primary |
Addresses
Primary practice location
725 W la Veta Ave Ste 100
Orange, CA 92868-4445
Mailing address
725 W la Veta Ave Ste 100
Orange, CA 92868-4445
Phone (714) 633-6363
Other practice location 1
One Baylor Plaza, BCM 320
Houston, TX 77030
Phone (832) 824-1170
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A194587 | CA | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Subspecialty Faculty, Inc. | Multi-Specialty | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1215498761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 W LA VETA AVE STE 100",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684445",
"telephone_number": "714-633-6363",
"fax_number": "714-633-0178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 W LA VETA AVE STE 100",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684445",
"telephone_number": "714-633-6363",
"fax_number": "714-633-0178"
}
],
"practiceLocations": [
{
"address_1": "One Baylor Plaza, BCM 320",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "77030",
"country_code": "US",
"telephone_number": "832-824-1170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "DIEM-TRAN",
"middle_name": "ISABELLE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-27",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "CA",
"license": "A194587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.