Active NPI
Kristy Anh Nguyen
- Occupational Therapist
- Newport Beach, CA
National Provider Identifier
1235798778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 18867
- Practice address
- 466 Flagship Rd
Newport Beach, CA 92663-3635 - Phone
- (949) 642-8044
- NPI assigned
- Jun 9, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 18867 | CA | Primary |
Addresses
Primary practice location
466 Flagship Rd
Newport Beach, CA 92663-3635
Mailing address
9631 Lampson Ave
Garden Grove, CA 92841-3852
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18867 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560038400000",
"number": "1235798778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9631 LAMPSON AVE",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928413852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "466 FLAGSHIP RD",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633635",
"telephone_number": "949-642-8044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KRISTY",
"middle_name": "ANH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-09",
"last_updated": "2019-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "18867",
"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 Jun 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.