Individual provider Active NPI

Christine Mai-Vy Nguyen, AUD

  • Audiologist
  • Newport Beach, CA
National Provider Identifier
1215609136
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
500 Old Newport Blvd Ste 101
Newport Beach, CA 92663-4234
Phone
(949) 642-7935
Fax
(949) 642-2950
NPI assigned
Sep 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

500 Old Newport Blvd Ste 101
Newport Beach, CA 92663-4234

Mailing address

500 Old Newport Blvd Ste 101
Newport Beach, CA 92663-4234
Phone (949) 642-7935

Other practice location 1

777 Corporate Dr Ste 130
Ladera Ranch, CA 92694-2136
Phone (949) 642-7935

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3624CAMDOrthopaedic Surgery Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1215609136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OLD NEWPORT BLVD STE 101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634234",
            "telephone_number": "949-642-7935",
            "fax_number": "949-642-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLD NEWPORT BLVD STE 101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634234",
            "telephone_number": "949-642-7935",
            "fax_number": "949-642-2950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Corporate Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Ladera Ranch",
            "state": "CA",
            "postal_code": "926942136",
            "country_code": "US",
            "telephone_number": "949-642-7935",
            "fax_number": "949-642-2950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHRISTINE",
        "middle_name": "MAI-VY",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.