Individual provider Active NPI

Phuong-My Nguyen

  • Physician Assistant
  • Buena Park, CA
National Provider Identifier
1225899883
Registry record updated May 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
8970 Knott Ave
Buena Park, CA 90620-4137
Phone
(949) 760-9222
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

8970 Knott Ave
Buena Park, CA 90620-4137

Mailing address

8970 Knott Ave
Buena Park, CA 90620-4137

Other names 1

  • Mia Nguyen Other name

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
I20250721001971 CA Practitioner - Physician Assistant 4789190422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oc Urgentcare Medical Group IncorporatedGroup PAC ID 3375672835, 30 clinicians

Practice addresses (Care Compare)

1401 N Tustin Ave
Suite 150
Santa Ana, CA 92705-8674
Phone (714) 978-4278

23653 El Toro Rd
Suite B
Lake Forest, CA 92630-8614
Phone (949) 317-0312

4720 E Chapman Ave
Orange, CA 92869-4113
Phone (714) 771-7600

610 E Katella Ave
Orange, CA 92867-4954
Phone (714) 694-2001

631 S Brookhurst St
Suite 101
Anaheim, CA 92804-3563
Phone (714) 991-5700

6502 Bolsa Ave
Suite 105
Huntington Beach, CA 92647-2662
Phone (714) 373-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Marque Medical Clinic, Inc. Past Accepting new patients
Marque Medical Clinic, Inc. PastSince Mar 22, 2020 Accepting new patients

Organizations & group practices 3

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": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777766400000",
    "number": "1225899883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8970 KNOTT AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8970 KNOTT AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204137",
            "telephone_number": "949-760-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUONG-MY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2026-05-03",
        "certification_date": "2026-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIA",
            "last_name": "NGUYEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.